Document Detail

Transarterial glue embolization in iatrogenic renovascular injuries.
MedLine Citation:
PMID:  18437524     Owner:  NLM     Status:  MEDLINE    
Iatrogenic injuries of the intrarenal arterial system include pseudoaneurysms and fistulas. They can cause hematuria and life-threatening hemodynamic instability, and therefore should be treated promptly. Endovascular treatment is recommended for these cases due to its effectiveness. Among the different agents used for embolization, n-butyl-2-cyanoacrylate (glue) has rarely been used. We present 15 patients with pseudoaneurysms and/or arteriovenous or caliceal fistulas who were treated by glue embolization. In our patient group, five had a history of percutaneous nephrolithotomy, six had renal biopsies, three had nephron-sparing surgery, and one had percutaneous nephrostomy. Glue embolizations were performed with the microcatheter technique. All patients were successfully treated, and all but one had excellent follow-ups. One patient suffered from disseminated intravascular coagulation secondary to transfusion and died after the procedure. We think glue embolization is a safe and effective treatment for this group of patients and present our experience along with the technical approach.
Nuri Cagatay Cimsit; Feyyaz Baltacioglu; Ismet Cengic; Ihsan Nuri Akpinar; Yalçin Ilker; Levent Turkeri
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Publication Detail:
Type:  Journal Article     Date:  2008-04-24
Journal Detail:
Title:  International urology and nephrology     Volume:  40     ISSN:  0301-1623     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2008  
Date Detail:
Created Date:  2008-11-07     Completed Date:  2009-03-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  Hungary    
Other Details:
Languages:  eng     Pagination:  875-9     Citation Subset:  IM    
Faculty of Medicine, Department of Radiology, Marmara University, Istanbul, Turkey.
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MeSH Terms
Aneurysm, False / etiology,  radiography,  therapy*
Arteriovenous Fistula / etiology,  radiography,  therapy*
Embolization, Therapeutic / instrumentation,  methods*
Enbucrilate / therapeutic use*
Iatrogenic Disease*
Kidney / blood supply*,  surgery
Kidney Diseases / radiography,  surgery*
Radiography, Interventional
Treatment Outcome
Reg. No./Substance:

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