Nightmare after iliac vein stenting: Spinal epidural hematoma

Abstract

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Hematuria during the right heart catheterization procedure: renal perforation as a very rare complication

“…The patient complained of severe back pain 12 hours after the procedure and developed an abrupt loss of sensorymotor function in the upper and lower extremities. MRI showed the epidural hematoma from cervical to lumbar spaces, which was treated with emergent laminectomy and hematoma removal (16). In our case, as a result of the inappropriate wiring, severe hematuria was developed, due to continuous blood flow, from a higher-pressure space of the iliac vein into a lower-pressure space of the renal pelvis.…”

Hematuria during the right heart catheterization procedure: Renal perforation as a very rare complication

“…We faced a previously unknown case of MTS, with several pelvic collaterals, which led to the misdirection of the wire into the renal parenchyma. Jenab et al 16 reported a 40 years old lady with a previously known history of symptomatic MTS, who had undergone iliac venoplasty with stenting, and during the procedure, a secondary spinal epidural hematoma was developed because of the misdirection of a 0.035‐inch hydrophilic stiff wire into the paraspinal space throughout the collateral network of vertebral‐pelvic venous plexus. The patient complained of severe back pain 12 hours after the procedure and developed an abrupt loss of sensory‐motor function in the upper and lower extremities.…”