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Superselective embolization of renal hemorrhage occurring after percutaneous coronary intervention
Authors:Luca Favero  Salvatore Saccà  Carlo Cernetti  Giampaolo Pasquetto  Dimitris Nikas  Bernhard Reimers
Affiliation:1. Department of Radiology, University of British Columbia, Vancouver, Canada;2. Division of Interventional Radiology, Department of Radiology, University of British Columbia, Vancouver, Canada;3. Division of Interventional Radiology, Institute of Radiology, University Hospital Basel, Basel, Switzerland;4. Division of Vascular Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada;1. Department of Biochemistry and Molecular Biology, Poznań University of Medical Sciences, Poland;2. Department of General and Colorectal Surgery, Poznań University of Medical Sciences, Poland;1. Breast Unit, Charing Cross Hospital, Imperial College Healthcare NHS Trust, Fulham Palace Road, London W6 8RF, UK;2. Park Centre for Breast Care, Brighton and Sussex University Hospitals NHS Trust, 177 Preston Road, Brighton BN1 6AG, UK;3. Breast Unit, The Royal Marsden Hospital, Downs Road, Sutton, Surrey SM2 5PT, UK
Abstract:A 69-year-old female was hospitalized for acute coronary syndrome and received full antiplatelet and anticoagulant therapy. The patient underwent angioplasty and stent implantation on right coronary and left circumflex arteries with good angiographic result. After the procedure, the patient developed hemorrhagic shock due to massive left renal hemorrhage. An emergent digital subtraction angiography showed bleeding from a left segmental renal artery. The hemorrhage was successfully managed with transcatheter superselective embolization. The patient was discharged after 22 days in good general condition with normal renal function. One-year follow-up was uneventful.
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