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CardioVascular and Interventional Radiology

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01-06-2010 | Letter to the Editor

Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting

Authors: Cuneyt Aytekin, Utku M. Yıldırım, Umut Ozyer, Ali Harman, Fatih Boyvat

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

Abstract

A 55-year-old woman underwent bilateral renal artery stent placement with good angiographic result. After the procedure, the patient complained of left flank pain secondary to subcapsular hematoma. Retrospective evaluation of images taken during stent implantation favored the diagnosis of guidewire perforation. Three hours after the procedure, contrast-enhanced computed tomography and subsequent renal angiography showed multifocal extravasations. We performed emergent renal ablation for the treatment of massive bleeding. To our knowledge, this is the first use of transcatheter renal ablation technique for this purpose.

Morris CS, Bonnevie GJ, Najarian KE (2001) Nonsurgical treatment of acute iatrogenic renal artery injuries occurring after renal artery angioplasty and stenting. AJR 177:1353–1357PubMed

Axelrod DJ, Freeman H, Puvkin L, Guller J, Mitty HA (2004) Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement. J Vasc Interv Radiol 15:985–987PubMed

Gerbaud L, Manhes G, Debourse J, Gouby G, Glanddier PY, Vader JP et al (2008) The appropriateness of renal angioplasty. The ANPARIA software: a multidisciplinary expert panel approach. Cardiovasc Intervent Radiol 31:1059–1068CrossRefPubMed

Martin LG, Rundback JH, Sacks D, Cardella JF, Rees CR, Matsumato AH et al (2002) Quality improvement guidelines for angiography, angioplasty, and stent placement in the diagnosis and treatment of renal artery stenosis in adults. J Vasc Interv Radiol 13:1069–1083CrossRefPubMed

Moore M, McSweeney S, Fulton G, Buckley J, Maher M, Michael G (2008) Reperfusion hemorrhage following superior mesenteric artery stenting. Cardiovasc Intervent Radiol 31:57–61CrossRef

Aytekin C, Yologlu Z, Boyvat F, Moray G, Ataman A, Haberal M (1999) Renal ablation with alcohol for proteinuira in patients with end-stage renal disease: Alternative to surgical nephrectomy. Transplant Proc 31:3140–3141CrossRefPubMed

Kothary N, Soulen MJ, Clark TW, Wein AJ, Shlansky-Goldberg RD, Crino PB et al (2005) Renal angiomyolipoma: long-term results after embolization. J Vasc Interv Radiol 16:45–50PubMed

Title: Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting
Authors: Cuneyt Aytekin
Utku M. Yıldırım
Umut Ozyer
Ali Harman
Fatih Boyvat
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9760-y

At a glance: The STEP trials

Springer Medicine

Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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