Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy

Detalhes bibliográficos
Autor(a) principal: Simões Ferreira, Ana Isabel
Data de Publicação: 2018
Outros Autores: Gomes, Filipe Veloso, Bilhim, Tiago, Coimbra, Élia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.4103/UA.UA_29_17
Resumo: Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney. We review the literature regarding endovascular management of kidney vascular lesions after PCNL. Selective renal embolization is a minimally invasive procedure, highly effective with a low incidence of complications. Currently, it is considered the most appropriate technique in the treatment of arterial iatrogenic complications following percutaneous renal procedures. Onyx® is an effective, easy to handle, and safe alternative embolic agent for these procedures.
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spelling Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomyA case report and review of literatureArterial pseudoaneurysmarteriovenous fistulaendovascular treatmentonyxpercutaneous nephrolithotomyPercutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney. We review the literature regarding endovascular management of kidney vascular lesions after PCNL. Selective renal embolization is a minimally invasive procedure, highly effective with a low incidence of complications. Currently, it is considered the most appropriate technique in the treatment of arterial iatrogenic complications following percutaneous renal procedures. Onyx® is an effective, easy to handle, and safe alternative embolic agent for these procedures.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNSimões Ferreira, Ana IsabelGomes, Filipe VelosoBilhim, TiagoCoimbra, Élia2018-05-15T22:10:19Z2018-05-032018-05-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article4application/pdfhttps://doi.org/10.4103/UA.UA_29_17eng0974-7796PURE: 4169235https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907337/https://doi.org/10.4103/UA.UA_29_17info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:20:40Zoai:run.unl.pt:10362/37114Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:46.898299Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
A case report and review of literature
title Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
spellingShingle Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
Simões Ferreira, Ana Isabel
Arterial pseudoaneurysm
arteriovenous fistula
endovascular treatment
onyx
percutaneous nephrolithotomy
title_short Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
title_full Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
title_fullStr Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
title_full_unstemmed Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
title_sort Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
author Simões Ferreira, Ana Isabel
author_facet Simões Ferreira, Ana Isabel
Gomes, Filipe Veloso
Bilhim, Tiago
Coimbra, Élia
author_role author
author2 Gomes, Filipe Veloso
Bilhim, Tiago
Coimbra, Élia
author2_role author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Simões Ferreira, Ana Isabel
Gomes, Filipe Veloso
Bilhim, Tiago
Coimbra, Élia
dc.subject.por.fl_str_mv Arterial pseudoaneurysm
arteriovenous fistula
endovascular treatment
onyx
percutaneous nephrolithotomy
topic Arterial pseudoaneurysm
arteriovenous fistula
endovascular treatment
onyx
percutaneous nephrolithotomy
description Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney. We review the literature regarding endovascular management of kidney vascular lesions after PCNL. Selective renal embolization is a minimally invasive procedure, highly effective with a low incidence of complications. Currently, it is considered the most appropriate technique in the treatment of arterial iatrogenic complications following percutaneous renal procedures. Onyx® is an effective, easy to handle, and safe alternative embolic agent for these procedures.
publishDate 2018
dc.date.none.fl_str_mv 2018-05-15T22:10:19Z
2018-05-03
2018-05-03T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://doi.org/10.4103/UA.UA_29_17
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 0974-7796
PURE: 4169235
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5907337/
https://doi.org/10.4103/UA.UA_29_17
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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