title: Transcatheter ablation of an iatrogenic renal artery pseudoaneurysm with absolute alcohol: a rare case report.
abstract: A 25 year old male was admitted with features of life threatening renal haemorrhage after undergoing open nephrolithotomy for a staghorn calculus of the right kidney. CECT abdomen and selective renal angiography revealed a 2.5 × 3.0 cm pseudoaneurysm arising from the lower segmental branch of right renal artery, leaking into retroperitoneal space. After an initial failed attempt of transcatheter embolization with N-butyl cyanoacrylate (NBCA) and 10% lipiodol mixture, the pseudoaneurysm was successfully ablated with absolute alcohol. Our case demonstrates that absolute alcohol ablation is a safe and effective modality for controlling haemorrhage from an iatrogenic renal artery pseudoaneurysm.
authors: Cardiology Fellow, SKIMS, India.
authors: Jahangir
authors: J
authors: Beig
authors: Asst. Professor Cardiology, SKIMS, India. Electronic address: imihaf@gmail.com.
authors: Imran
authors: I
authors: Hafeez
authors: Professor Cardiology, SKIMS, India.
authors: Nisar Ahmed
authors: NA
authors: Tramboo
authors: Addl. Professor Cardiology, SKIMS, India.
authors: Hilal
authors: H
authors: Rather
authors: Cardiology Fellow, SKIMS, India.
authors: Irfan
authors: I
authors: Yaqoob
keywords: Absolute alcohol ablation; Iatrogenic renal artery pseudoaneurysm; N-butyl cyanoacrylate; Transcatheter embolization
references: Radiology. 2002 Jun;223(3):723-30
references: 12034941
references: Korean J Radiol. 2010 May-Jun;11(3):257-68
references: 20461179
references: Clin Radiol. 2003 Jul;58(7):560-5
references: 12834641
references: J Vasc Interv Radiol. 2000 Jan;11(1):66-72
references: 10693716
references: BJU Int. 2004 Jan;93(1):181
references: 14678398
references: J Vasc Interv Radiol. 2004 Jul;15(7):689-95
references: 15231881
references: Clin Radiol. 1997 Feb;52(2):119-23
references: 9043045
references: J Vasc Interv Radiol. 1997 Jul-Aug;8(4):527-33
references: 9232566
references: Cardiovasc Intervent Radiol. 1998 Mar-Apr;21(2):129-34
references: 9502679
references: Cathet Cardiovasc Diagn. 1998 Dec;45(4):442-4
references: 9863757
references: Acta Radiol Diagn (Stockh). 1964 Jul;2:316-20
references: 14196590
references: Kardiol Pol. 2006 Dec;64(12):1419-21
references: 17206541
references: Clin Radiol. 2008 Aug;63(8):864-70
references: 18625350
references: J Vasc Interv Radiol. 2009 Jun;20(6):819-23
references: 19465308
references: Acta Radiol. 2003 Jan;44(1):13-7
references: 12630992