Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
| Texto Completo: | http://www.repositorio.ufc.br/handle/riufc/51584 |
Resumo: | Renal artery pseudoaneurysm is a vascular complication that may occur after percutaneous procedures, nephrectomy, penetrating trauma and blunt trauma, which is difficult to perform. Signs and symptoms are non-specific and may vary with each patient, with hematuria being the most common symptom. With this, it is necessary to have a good understanding of the patient’s medical history for clinical suspicion. Computed tomography and Doppler can be used as a diagnostic aid. In this report, we present the case of a patient who underwent renal transplantation with graft in the iliac vessels to the left, and progressed with worsening renal function undergoing renal biopsy. The condition progressed with a decrease in hematocrit and worsening renal function, being submitted to ultrasound with transplanted kidney Doppler showing anechoic pulsatile formation. Tomography showed contrast extravasation in the renal graft parenchyma. It was then chosen by endovascular treatment of pseudoaneurysm in renal graft with springs. The patient evolved postoperatively with resolution of left iliac fossa pain, and improved renal function. |
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Tratamento endovascular embolizante de pseudoaneurisma em rim transplantadoEndovascular embolization treatment of pseudoaneurism in transplanted kidneyTransplante de RimFalso AneurismaProcedimentos EndovascularesRenal artery pseudoaneurysm is a vascular complication that may occur after percutaneous procedures, nephrectomy, penetrating trauma and blunt trauma, which is difficult to perform. Signs and symptoms are non-specific and may vary with each patient, with hematuria being the most common symptom. With this, it is necessary to have a good understanding of the patient’s medical history for clinical suspicion. Computed tomography and Doppler can be used as a diagnostic aid. In this report, we present the case of a patient who underwent renal transplantation with graft in the iliac vessels to the left, and progressed with worsening renal function undergoing renal biopsy. The condition progressed with a decrease in hematocrit and worsening renal function, being submitted to ultrasound with transplanted kidney Doppler showing anechoic pulsatile formation. Tomography showed contrast extravasation in the renal graft parenchyma. It was then chosen by endovascular treatment of pseudoaneurysm in renal graft with springs. The patient evolved postoperatively with resolution of left iliac fossa pain, and improved renal function.O pseudoaneurisma de artéria renal é uma complicação vascular que pode ocorrer após procedimentos percutâneos, nefrectomia, traumas penetrantes e traumas contusos, este de difícil ocorrência. Os sinais e sintomas são inespecíficos e podem variar com cada paciente, sendo a hematúria o sintoma mais comum. Com isso, faz-se necessário um bom entendimento do histórico médico do paciente para suspeição clínica. A tomografia computadorizada e o ecodoppler podem ser usados como auxílio ao diagnóstico. Neste relato, apresentamos o caso de um paciente submetido à transplante renal com enxertia em vasos ilíacos à esquerda, evoluiu com piora de função renal sendo submetido a biópsia renal. O quadro progrediu com queda do hematócrito e piora da função renal, sendo submetido a ultrassom com Doppler de rim transplantado que evidenciou formação anecóica pulsátil. A tomografia mostrou extravasamento de contraste no parênquima do enxerto renal. Foi optado, então, por tratamento endovascular de pseudoaneurisma em enxerto renal com molas. O paciente evoluiu no pós-operatório com resolução da dor em fossa ilíaca esquerda, e melhora de função renal.Revista de Medicina da UFC2020-05-06T18:48:37Z2020-05-06T18:48:37Z2020-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfSOARES, Victor Hugo Lauro et al. Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 59-62, jan./mar. 20120.2447-6596http://www.repositorio.ufc.br/handle/riufc/51584Soares, Victor Hugo LauroAndrade Filho, João Edison deLinhares Filho, Frederico Augusto de CarvalhoBernhardt, Gabriela Perinaporreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2020-05-06T18:48:37Zoai:repositorio.ufc.br:riufc/51584Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:59:43.561729Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
| dc.title.none.fl_str_mv |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado Endovascular embolization treatment of pseudoaneurism in transplanted kidney |
| title |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| spellingShingle |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado Soares, Victor Hugo Lauro Transplante de Rim Falso Aneurisma Procedimentos Endovasculares |
| title_short |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| title_full |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| title_fullStr |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| title_full_unstemmed |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| title_sort |
Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado |
| author |
Soares, Victor Hugo Lauro |
| author_facet |
Soares, Victor Hugo Lauro Andrade Filho, João Edison de Linhares Filho, Frederico Augusto de Carvalho Bernhardt, Gabriela Perina |
| author_role |
author |
| author2 |
Andrade Filho, João Edison de Linhares Filho, Frederico Augusto de Carvalho Bernhardt, Gabriela Perina |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Soares, Victor Hugo Lauro Andrade Filho, João Edison de Linhares Filho, Frederico Augusto de Carvalho Bernhardt, Gabriela Perina |
| dc.subject.por.fl_str_mv |
Transplante de Rim Falso Aneurisma Procedimentos Endovasculares |
| topic |
Transplante de Rim Falso Aneurisma Procedimentos Endovasculares |
| description |
Renal artery pseudoaneurysm is a vascular complication that may occur after percutaneous procedures, nephrectomy, penetrating trauma and blunt trauma, which is difficult to perform. Signs and symptoms are non-specific and may vary with each patient, with hematuria being the most common symptom. With this, it is necessary to have a good understanding of the patient’s medical history for clinical suspicion. Computed tomography and Doppler can be used as a diagnostic aid. In this report, we present the case of a patient who underwent renal transplantation with graft in the iliac vessels to the left, and progressed with worsening renal function undergoing renal biopsy. The condition progressed with a decrease in hematocrit and worsening renal function, being submitted to ultrasound with transplanted kidney Doppler showing anechoic pulsatile formation. Tomography showed contrast extravasation in the renal graft parenchyma. It was then chosen by endovascular treatment of pseudoaneurysm in renal graft with springs. The patient evolved postoperatively with resolution of left iliac fossa pain, and improved renal function. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020-05-06T18:48:37Z 2020-05-06T18:48:37Z 2020-01 |
| 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 |
SOARES, Victor Hugo Lauro et al. Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 59-62, jan./mar. 20120. 2447-6596 http://www.repositorio.ufc.br/handle/riufc/51584 |
| identifier_str_mv |
SOARES, Victor Hugo Lauro et al. Tratamento endovascular embolizante de pseudoaneurisma em rim transplantado. Rev Med UFC., Fortaleza, v. 60, n. 1, p. 59-62, jan./mar. 20120. 2447-6596 |
| url |
http://www.repositorio.ufc.br/handle/riufc/51584 |
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por |
| language |
por |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.publisher.none.fl_str_mv |
Revista de Medicina da UFC |
| publisher.none.fl_str_mv |
Revista de Medicina da UFC |
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reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
| instname_str |
Universidade Federal do Ceará (UFC) |
| instacron_str |
UFC |
| institution |
UFC |
| reponame_str |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
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bu@ufc.br || repositorio@ufc.br |
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1813029026254553088 |