Renal Artery Perforation Related With Hydrophilic Guide Wire During Coronary Intervention: Successful Treatment With Polyvinyl Alcohol Injection

Lee, Sang Yeub; Kim, Sang Min; Bae, Jang‐Whan; Hwang, Kyung‐Kuk; Bae, Il Hun; Kim, Dong Ho; Cho, Myeong Chan

doi:10.1016/j.cjca.2012.03.007

Cited by 4 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2) Retroperitoneal hemorrhage related to renal artery injury, as demonstrated in the present case, is markedly rare, and only a few case reports have been published. 3,4) conducted. The blood examination 26 days after treatment suggested improvement (the Hb level, platelet count, BUN/ Cre value, and eGFR were 10.1 g/dL, 210,000/mL, 14.2/0.58 mg/dL, and 78 mL/min/L, respectively).…”

Section: Course Of Transarterial Embolizationmentioning

confidence: 99%

“…Several studies reported complications, such as retroperitoneal hemorrhage, related to vascular injury on puncture or catheter guiding. [1][2][3][4] Prior to carotid artery stenting or coil embolization of cerebral aneurysms, majority of patients were administered two antiplatelet drugs orally, and thus, occurrence of vascular injury may lead to serious complications.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Renal Artery Injury Caused by a 0.035-Inch Guidewire in Navigating a Guiding Sheath during Coil Embolization: A Case Report of Rescue Embolization with n-Butyl-2-Cianoacrylate

Nishiyama

Matsumoto

Izawa

et al. 2021

JNET

View full text Add to dashboard Cite

We report renal artery injury by a guidewire during coil embolization of a cerebral artery aneurysm, which was successfully treated by transarterial embolization using n-butyl-2-cianoacrylate (NBCA). Case Presentation: A 65-year-old woman underwent coil embolization for an unruptured cerebral aneurysm, resulting in its complete occlusion. However, her blood pressure decreased during embolization and postoperative abdominal computed tomography (CT) revealed a retroperitoneal hematoma. Intraoperative video revealed that the 0.035-inch guidewire had passed deeply into the right renal artery when the guiding sheath was navigated into the abdominal aorta, suggesting renal artery perforation. Transarterial embolization using NBCA was performed immediately, which resulted in hemostasis. Conclusion: Although renal artery perforation with a guidewire is a rare complication, it can have severe consequences. Early diagnosis with prompt and definitive hemostasis is important.

show abstract

Section: Course Of Transarterial Embolizationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Renal Artery Injury Caused by a 0.035-Inch Guidewire in Navigating a Guiding Sheath during Coil Embolization: A Case Report of Rescue Embolization with n-Butyl-2-Cianoacrylate

Nishiyama

Matsumoto

Izawa

et al. 2021

JNET

View full text Add to dashboard Cite

show abstract

“…[4] Balloon tamponade, stent grafts, or embolized coils can be used according to the vessel size or location. [5] However, in the case of an end-artery perforation such as in the present case, emergency surgery should be generally considered as the primary treatment. By contrast, conservative treatment, which includes the reversal of the full anticoagulant state, replacement of the lost intra-arterial volume by blood transfusions, and serial ultrasonography monitoring, remains the best choice if salvaging the kidney is considered.…”

Section: Discussionmentioning

confidence: 96%

Renal subcapsular hematoma caused by hydrophilic guide wire during patent ductus arteriosus closure

et al. 2016

View full text Add to dashboard Cite

Hydrophilic guide wire-associated renal subcapsular hematoma (RSH) during patent ductus arteriosus (PDA) closure is an extremely rare clinical condition. Herein, we present the case of a 16-year-old adolescent who suffered accidental hydrophilic 0.035-inch guide wire-related RSH during PDA closure. This RSH was diagnosed by computerized tomography and selective renal angiography. It was successfully treated by conservative treatment.

show abstract

“…It was reported that the incidence of iatrogenic injuries after percutaneous renal artery revascularization had been 6.5–22.8% [ 4 , 7 , 8 ]. As reported by several studies [ 4 , 5 , 7 , 8 ], the iatrogenic perforation and rupture of small branch vessels are usually caused by floppy-tipped guidewires. The hydrophilic guidewires and catheters may accidently enter the renal arterial branches during wire exchanging procedures, when it was performed without any fluoroscopic navigation [ 4 , 5 , 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…As reported by several studies [ 4 , 5 , 7 , 8 ], the iatrogenic perforation and rupture of small branch vessels are usually caused by floppy-tipped guidewires. The hydrophilic guidewires and catheters may accidently enter the renal arterial branches during wire exchanging procedures, when it was performed without any fluoroscopic navigation [ 4 , 5 , 7 , 8 ]. Particularly in patients with aortic dissection, the true lumen is usually compressed by enlarged false lumen [ 3 ], and the guidewire may easily pass through the narrowed true lumen into the downward angled renal artery.…”

Section: Discussionmentioning

confidence: 99%

Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report

et al. 2018

View full text Add to dashboard Cite

BackgroundThoracic endovascular aortic repair (TEVAR) is the therapeutic choice for type B aortic dissection. One of the most unfavored complications of this procedure is hemorrhage, which has a low incidence but high mortality. Renal hemorrhage (RH) after endovascular aortic repair has been rarely reported. We presented two cases of unexpected RH after TEVAR for complicated type B aortic dissection, and the potential causes, diagnosis and therapeutic management were discussed.Case presentationA 67-year-old female developed hypotension and progressively decrease of hemoglobin within 5 h after TEVAR for acute complicated type B dissection. Bedside ultrasonography and abdominal computed tomography angiography revealed a massive right perinephric hematoma. The right renal angiography detected multiple tortuous vascular branches with diffuse perinephric bleeding. The main trunk of right renal artery was embolized. The patient recovered uneventfully and presented with normal renal function 6 months later. Another patient was a 69-year-old male who was admitted for endovascular repair of a chronic complicated type B aortic dissection. The patient presented with hemodynamic instability early after TEVAR. Bedside ultrasonography showed a giant left retroperitoneal hematoma. The abdominal angiography revealed two active bleeding sits located in the distal branches of left renal artery. A super-selective embolization of the two arteries was performed, however the patient developed abdominal compartment syndrome and died of multiple organ failure.ConclusionsUnexpected RH after endovascular repair of aortic dissection might be associated with iatrogenic and idiopathic factors. Close surveillance and clinician’s awareness of this rare complication is crucial for accurate and prompt diagnosis. Renal angiography and subsequent selective embolization of bleeding vessels are effective interventions for treating this fatal condition.Electronic supplementary materialThe online version of this article (10.1186/s12893-018-0440-1) contains supplementary material, which is available to authorized users.

show abstract

Renal Artery Perforation Related With Hydrophilic Guide Wire During Coronary Intervention: Successful Treatment With Polyvinyl Alcohol Injection

Cited by 4 publications

References 5 publications

Renal Artery Injury Caused by a 0.035-Inch Guidewire in Navigating a Guiding Sheath during Coil Embolization: A Case Report of Rescue Embolization with n-Butyl-2-Cianoacrylate

Renal Artery Injury Caused by a 0.035-Inch Guidewire in Navigating a Guiding Sheath during Coil Embolization: A Case Report of Rescue Embolization with n-Butyl-2-Cianoacrylate

Renal subcapsular hematoma caused by hydrophilic guide wire during patent ductus arteriosus closure

Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report

Contact Info

Product

Resources

About