IATROGENIC RENAL VASCULAR INJURY: DIAGNOSIS WITH 3-D CT ANGIOGRAPHY AND ENDOVASCULAR REPAIR


Ozer C., PEYNİRCİOĞLU B. , BİLEN C. Y. , AKPINAR E. , Cil B., ŞAHİN A.

TURKISH JOURNAL OF UROLOGY, cilt.34, sa.4, ss.486-490, 2008 (ESCI İndekslerine Giren Dergi) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Konu: 4
  • Basım Tarihi: 2008
  • Dergi Adı: TURKISH JOURNAL OF UROLOGY
  • Sayfa Sayıları: ss.486-490

Özet

Introduction: Currently, percutaneous nephrolithotomy has been well established procedure as a minimal invasive treatment alternative of open surgery in the treatment of nephrolithiasis. Several renal vascular injuries can happen during the treatment such as arteriovenous fistula and pseudo aneurysms and frequently present as hematuria and/or retroperitoneal hemorrhage. Although these complications can generally be managed by conservative approaches; more aggressive treatment options (even total nephrectomy) may be needed in some of these patients. Ultrasound is the first line imaging modality in recognition of these complications particularly for detection of retroperitoneal hemorrhage. The gold standard diagnostic modality is catheter angiography and possibility of having a selective transarterial embolization at the same session is the leading treatment alternative for these complications. Herein, we present a case of renal arterial injury related to percutaneous nephrolithotomy who present with persistant hematuria. The diagnosis of intrarenal multiple pseudoaneurysms was made with 3-dimensional CT angiography and the treatments was done subsequently using microcoils and nBCA via transarterial approach.