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Published in: The International Journal of Cardiovascular Imaging 6/2007

01-12-2007 | Case Report

Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization

Authors: Soeren A. Peters, Aydan Yazar, Stefan P. Lemburg, Christoph M. Heyer

Published in: The International Journal of Cardiovascular Imaging | Issue 6/2007

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Abstract

Retroperitoneal hematoma (RPH) is a well-recognised, albeit rare complication of percutaneous transfemoral cardiac catheterization. We describe an unusual case of renal perforation and RPH following transfemoral cardiac catheterization for endomyocardial biopsy. Diagnosis was made based on multidetector computed tomography (MDCT) which clearly depicted active renal hemorrhage in short acquisition time. The case expands the spectrum of possible complications of percutaneous transfemoral cardiac catheterization and illustrates the usefulness MDCT in quickly and adequately detecting RPH.
Literature
1.
go back to reference Popma JJ, Satler LF, Pichard AD et al (1993) Vascular complications after balloon and new device angioplasty. Circulation 88:1569–1578PubMed Popma JJ, Satler LF, Pichard AD et al (1993) Vascular complications after balloon and new device angioplasty. Circulation 88:1569–1578PubMed
2.
go back to reference Muller DW, Shamir KJ, Ellis SG, Topol EJ (1992) Peripheral vascular complications after conventional and complex percutaneous coronary interventional procedures. Am J Cardiol 69:63–68PubMedCrossRef Muller DW, Shamir KJ, Ellis SG, Topol EJ (1992) Peripheral vascular complications after conventional and complex percutaneous coronary interventional procedures. Am J Cardiol 69:63–68PubMedCrossRef
3.
go back to reference Chandrasekar B, Doucet S, Bilodeau L et al (2001) Complications of cardiac catheterization in the current era: a single-center experience. [see comment]. Catheter Cardiovasc Interv 52:289–295PubMedCrossRef Chandrasekar B, Doucet S, Bilodeau L et al (2001) Complications of cardiac catheterization in the current era: a single-center experience. [see comment]. Catheter Cardiovasc Interv 52:289–295PubMedCrossRef
4.
go back to reference Sherev DA, Shaw RE, Brent BN (2005) Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention. [see comment]. Catheter Cardiovasc Interv 65:196–202PubMedCrossRef Sherev DA, Shaw RE, Brent BN (2005) Angiographic predictors of femoral access site complications: implication for planned percutaneous coronary intervention. [see comment]. Catheter Cardiovasc Interv 65:196–202PubMedCrossRef
5.
go back to reference Nasser TK, Mohler ER 3rd, Wilensky RL, Hathaway DR (1995) Peripheral vascular complications following coronary interventional procedures. Clin Cardiol 18:609–614PubMedCrossRef Nasser TK, Mohler ER 3rd, Wilensky RL, Hathaway DR (1995) Peripheral vascular complications following coronary interventional procedures. Clin Cardiol 18:609–614PubMedCrossRef
6.
go back to reference Sreeram S, Lumsden AB, Miller JS, Salam AA, Dodson TF, Smith RB (1993) Retroperitoneal hematoma following femoral arterial catheterization: a serious and often fatal complication. American Surgeon 59:94–98PubMed Sreeram S, Lumsden AB, Miller JS, Salam AA, Dodson TF, Smith RB (1993) Retroperitoneal hematoma following femoral arterial catheterization: a serious and often fatal complication. American Surgeon 59:94–98PubMed
7.
go back to reference Lodge JP, Hall R (1993) Retroperitoneal haemorrhage: a dangerous complication of common femoral arterial puncture. Eur J Vasc Surg 7:355–357PubMedCrossRef Lodge JP, Hall R (1993) Retroperitoneal haemorrhage: a dangerous complication of common femoral arterial puncture. Eur J Vasc Surg 7:355–357PubMedCrossRef
8.
go back to reference Goenka P, Iqbal M, Walton JA, Thomas E (1998) Retroperitoneal hemorrhage after cardiac catheterization causing a diagnostic dilemma. Tenn Med 91:461–462PubMed Goenka P, Iqbal M, Walton JA, Thomas E (1998) Retroperitoneal hemorrhage after cardiac catheterization causing a diagnostic dilemma. Tenn Med 91:461–462PubMed
9.
go back to reference Kent KC, Moscucci M, Mansour KA et al (1994) Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg 20:905–910; discussion 910–903 Kent KC, Moscucci M, Mansour KA et al (1994) Retroperitoneal hematoma after cardiac catheterization: prevalence, risk factors, and optimal management. J Vasc Surg 20:905–910; discussion 910–903
10.
go back to reference Ben Taarit C, Ajlani H, Ben Moussa F, Ben Abdallah T, Ben Maiz H, Khedher A (2005) Les manifestations renales de la spondylarthrite ankylosante: a propos de 210 cas. Rev Med Interne 26:966–969PubMedCrossRef Ben Taarit C, Ajlani H, Ben Moussa F, Ben Abdallah T, Ben Maiz H, Khedher A (2005) Les manifestations renales de la spondylarthrite ankylosante: a propos de 210 cas. Rev Med Interne 26:966–969PubMedCrossRef
11.
go back to reference Scialpi M, Scaglione M, Angelelli G et al (2004) Emergencies in the retroperitoneum: assessment of spread of disease by helical CT. Eur J Radiol 50:74–83PubMedCrossRef Scialpi M, Scaglione M, Angelelli G et al (2004) Emergencies in the retroperitoneum: assessment of spread of disease by helical CT. Eur J Radiol 50:74–83PubMedCrossRef
12.
go back to reference Quint LE, Holland D, Korobkin M, Cascade PN (1993) Role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematomas: CT study in 44 patients. AJR Am J Roentgenol 160:855–858PubMed Quint LE, Holland D, Korobkin M, Cascade PN (1993) Role of femoral vessel catheterization and altered hemostasis in the development of extraperitoneal hematomas: CT study in 44 patients. AJR Am J Roentgenol 160:855–858PubMed
Metadata
Title
Renal perforation and retroperitoneal hematoma: an unusual complication following cardiac catheterization
Authors
Soeren A. Peters
Aydan Yazar
Stefan P. Lemburg
Christoph M. Heyer
Publication date
01-12-2007
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue 6/2007
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-006-9202-8

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