Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock

Renal artery pseudoaneurysms have been infrequently reported in the literature. In the present report, we have described a case of a ruptured renal artery pseudoaneurysm requiring coil embolization. A 49-year-old man had presented to our institution with a hypertensive emergency. Computed tomography...

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Autores principales: McSweeney, Andrea, Tarpara, Anand, Salvatore, Dawn, DiMuzio, Paul, Nooromid, Michael, Abai, Babak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9048051/
https://www.ncbi.nlm.nih.gov/pubmed/35493341
http://dx.doi.org/10.1016/j.jvscit.2022.03.005
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author McSweeney, Andrea
Tarpara, Anand
Salvatore, Dawn
DiMuzio, Paul
Nooromid, Michael
Abai, Babak
author_facet McSweeney, Andrea
Tarpara, Anand
Salvatore, Dawn
DiMuzio, Paul
Nooromid, Michael
Abai, Babak
author_sort McSweeney, Andrea
collection PubMed
description Renal artery pseudoaneurysms have been infrequently reported in the literature. In the present report, we have described a case of a ruptured renal artery pseudoaneurysm requiring coil embolization. A 49-year-old man had presented to our institution with a hypertensive emergency. Computed tomography revealed a 3.4-cm right renal artery pseudoaneurysm. Nonemergent coil embolization was planned for the following day. However, he became hypotensive, exsanguinating frank blood from the urethra. An arteriogram showed extravasation of contrast into the pseudoaneurysm sac, renal pelvis, and ureter, consistent with intrarenal pseudoaneurysm rupture. We have demonstrated coil embolization as a method of repairing a ruptured renal artery pseudoaneurysm with gross hematuria.
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spelling pubmed-90480512022-04-29 Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock McSweeney, Andrea Tarpara, Anand Salvatore, Dawn DiMuzio, Paul Nooromid, Michael Abai, Babak J Vasc Surg Cases Innov Tech Case report Renal artery pseudoaneurysms have been infrequently reported in the literature. In the present report, we have described a case of a ruptured renal artery pseudoaneurysm requiring coil embolization. A 49-year-old man had presented to our institution with a hypertensive emergency. Computed tomography revealed a 3.4-cm right renal artery pseudoaneurysm. Nonemergent coil embolization was planned for the following day. However, he became hypotensive, exsanguinating frank blood from the urethra. An arteriogram showed extravasation of contrast into the pseudoaneurysm sac, renal pelvis, and ureter, consistent with intrarenal pseudoaneurysm rupture. We have demonstrated coil embolization as a method of repairing a ruptured renal artery pseudoaneurysm with gross hematuria. Elsevier 2022-03-22 /pmc/articles/PMC9048051/ /pubmed/35493341 http://dx.doi.org/10.1016/j.jvscit.2022.03.005 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
McSweeney, Andrea
Tarpara, Anand
Salvatore, Dawn
DiMuzio, Paul
Nooromid, Michael
Abai, Babak
Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title_full Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title_fullStr Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title_full_unstemmed Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title_short Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
title_sort coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9048051/
https://www.ncbi.nlm.nih.gov/pubmed/35493341
http://dx.doi.org/10.1016/j.jvscit.2022.03.005
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