Transcatheter ablation of an iatrogenic renal artery pseudoaneurysm with absolute alcohol: A rare case report |
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| Authors: | Jahangir Beig Imran Hafeez Nisar Ahmed Tramboo Hilal Rather Irfan Yaqoob |
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| Affiliation: | aCardiology Fellow, SKIMS, India;bAsst. Professor Cardiology, SKIMS, India;cProfessor Cardiology, SKIMS, India;dAddl. Professor Cardiology, SKIMS, India;eCardiology Fellow, SKIMS, India |
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| Abstract: | A 25 year old male was admitted with features of life threatening renal haemorrhage after undergoing open nephrolithotomy for a staghorn calculus of the right kidney. CECT abdomen and selective renal angiography revealed a 2.5 × 3.0 cm pseudoaneurysm arising from the lower segmental branch of right renal artery, leaking into retroperitoneal space. After an initial failed attempt of transcatheter embolization with N-butyl cyanoacrylate (NBCA) and 10% lipiodol mixture, the pseudoaneurysm was successfully ablated with absolute alcohol. Our case demonstrates that absolute alcohol ablation is a safe and effective modality for controlling haemorrhage from an iatrogenic renal artery pseudoaneurysm. |
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| Keywords: | Absolute alcohol ablation N-butyl cyanoacrylate Iatrogenic renal artery pseudoaneurysm Transcatheter embolization |
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