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Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting

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Abstract

A 55-year-old woman underwent bilateral renal artery stent placement with good angiographic result. After the procedure, the patient complained of left flank pain secondary to subcapsular hematoma. Retrospective evaluation of images taken during stent implantation favored the diagnosis of guidewire perforation. Three hours after the procedure, contrast-enhanced computed tomography and subsequent renal angiography showed multifocal extravasations. We performed emergent renal ablation for the treatment of massive bleeding. To our knowledge, this is the first use of transcatheter renal ablation technique for this purpose.

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Authors and Affiliations

  1. Department of Radiology, Baskent University Faculty of Medicine, 10. Sokak No: 45, Bahçelievler, 06490, Ankara, Turkey

    Cuneyt Aytekin, Utku M. Yıldırım, Umut Ozyer, Ali Harman & Fatih Boyvat

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  1. Cuneyt Aytekin
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  2. Utku M. Yıldırım
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  3. Umut Ozyer
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  4. Ali Harman
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  5. Fatih Boyvat
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Correspondence to Cuneyt Aytekin.

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Aytekin, C., Yıldırım, U.M., Ozyer, U. et al. Emergency Renal Ablation for Life-Threatening Hemorrhage from Multiple Capsular Branches During Renal Artery Stenting. Cardiovasc Intervent Radiol 33, 663–666 (2010). https://doi.org/10.1007/s00270-009-9760-y

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  • DOI: https://doi.org/10.1007/s00270-009-9760-y

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