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

Peters, Sören; Yazar, Aydan; Lemburg, Stefan P.; Heyer, C. M.

doi:10.1007/s10554-006-9202-8

Cited by 11 publications

(9 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

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

“…A detailed physical examination and thorough history rarely lead to misdiagnosis of the condition (Peters et al, 2007). However, spontaneous retroperitoneal hemorrhage is a much less common distinct clinical entity that can be life-threatening.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

Fan

Deng

Liu

et al. 2012

J. Zhejiang Univ. Sci. B

View full text Add to dashboard Cite

Abstract:In this paper, we described the symptoms and treatment of a patient with diabetic nephropathy accompanied by spontaneous retroperitoneal hemorrhage after hemodialysis. An elderly female patient with diabetic nephropathy presented with severe pain, numbness, and an increasing swelling in the left hip and left thigh after six sessions of hemodialysis involving the use of an antiplatelet drug and an anticoagulant agent. Her hemoglobin decreased to 46 g/L. An abdominal ultrasound showed a hematoma in the left retroperitoneal space, and computed tomography (CT) findings revealed a 6 cm×8 cm×10 cm hematoma in the left psoas muscle. After aggressive supportive therapy [the administration of packed red blood cell transfusion, carbazochrome sodium sulfonate injection, and continuous venovenous hemofiltration (CVVH)], the patient's vital signs stabilized and her hemoglobin increased to 86 g/L. Repeat CT showed that the hematoma had been partially absorbed after two weeks. Eventually, the patient was discharged with stable vital signs. Physicians should be aware of the possibility of spontaneous retroperitoneal hemorrhage, particularly in patients with diabetic nephropathy undergoing hemodialysis involving the use of anticoagulant agents.

show abstract

“…Despite its unfamiliar etiology, the hematomas origin might be spontaneous or iatrogenic, which could be secondary to endovascular trauma or the use of anticoagulation drugs during the procedure. Risk factors predisposing to retroperitoneal haemorrhage after percutaneous transfemoral cardiac intervention are the following: the female sex, low platelet count, sheath removal protocol, the use of hydrophilic guide wire [7] and post-procedure anticoagulation, presenting the greatest risk [8]. …”

Section: Introductionmentioning

confidence: 99%

Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention

et al. 2017

View full text Add to dashboard Cite

Percutaneous cardiac intervention is an invasive diagnostic and therapeutic technique which carries a significant complication rate. Although the usefulness of EFAST protocol is widely recognised, this paper will attempt to explore a modified approach involving a focused examination on the retroperitoneal (r-EFAST). We have provided examples of 3 cases where r-EFAST was used to detect retroperitoneal bleeding in critical situations.

show abstract

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

Cited by 11 publications

References 10 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

Spontaneous retroperitoneal hemorrhage after hemodialysis involving anticoagulant agents

Applicability of a modified EFAST protocol (r-EFAST) to evaluate hemodynamically unstable patients after percutaneous cardiac intervention

Contact Info

Product

Resources

About