Embolization with Onyx of an arterial pseudoaneurysm with an arteriovenous fistula complicating a percutaneous nephrolithotomy
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.4103/UA.UA_29_17 |
url |
https://doi.org/10.4103/UA.UA_29_17 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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 |
dc.format.none.fl_str_mv |
4 application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137931487608832 |