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

Abstract

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.

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

“…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 ].…”