Percutaneous re-surgical approach for delayed bleeding caused by pseudoaneurysm following percutaneous nephrolithotomy

Autor: Akbar Nouralizadeh, Niloofar Rostaminejad, Negar Radpour, Hamidreza Momeni, Behzad Narouie, Mehdi Dadpour
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Urology Case Reports, Vol 50, Iss , Pp 102551- (2023)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2023.102551
Popis: Post percutaneous nephrolithotomy (PCNL) vascular complications included arteriovenous fistula and pseudoaneurysm can cause early or late bleeding and result in unstable condition. Selective trans-arterial embolization is the gold standard technique to manage arterial pseudoaneurysm. Herein, we present a case of pseudoaneurysm following PCNL and describe an alternative technique for its removal using a grasper under C-arm vision. Percutaneous re-surgical approach to post-PCNL hemorrhage due to pseudoaneurysm by using a nephro-grasper to pick up the renal artery pseudoaneurysm would be safe, effective and can provide a direct view of pyelocaliceal system for surgeons; And can be a proper alternative for angioembolization.
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