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Title: Percutaneous Cyanoacrylate Glue Injection into the Renal Pseudoaneurysm to Control Intractable Hematuria After Percutaneous Nephrolithotomy

We report a case of a 43-year-old man who developed intractable hematuria after percutaneous nephrolithotomy. Angiography detected a pseudoaneurysm arising from the lower polar artery; however, embolization could not be performed because of unfavorable vascular anatomy. A percutaneous thrombin injection under ultrasound guidance initially controlled the bleeding, but hematuria subsequently recurred as a result of recanalization of the aneurysm. The case was successfully managed with ultrasound- and fluoroscopic-guided direct injection of cyanoacrylate glue into the pseudoaneurysm.
Authors:
; ; ;  [1] ; ;  [2] ;  [1]
  1. Post Graduate Institute of Medical Education and Research (PGIMER), Department of Radiodiagnosis and Imaging (India)
  2. Post Graduate Institute of Medical Education and Research (PGIMER), Department of Urology (India)
Publication Date:
OSTI Identifier:
21428510
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 32; Journal Issue: 4; Other Information: DOI: 10.1007/s00270-009-9522-x; Copyright (c) 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2009 Springer Science+Business Media, LLC
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ACRYLATES; BIOMEDICAL RADIOGRAPHY; BLOOD CELLS; INJECTION; KIDNEYS; THROMBIN; URINE BIOLOGICAL MATERIALS; BIOLOGICAL WASTES; BLOOD; BLOOD COAGULATION FACTORS; BODY; BODY FLUIDS; CARBOXYLIC ACID SALTS; DIAGNOSTIC TECHNIQUES; ENZYMES; HYDROLASES; INTAKE; MATERIALS; MEDICINE; NUCLEAR MEDICINE; ORGANIC COMPOUNDS; ORGANS; PEPTIDE HYDROLASES; PROTEINS; RADIOLOGY; SERINE PROTEINASES; WASTES