Department of Urology, First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou, Zhejiang 310031, China.
Chin Med J (Engl). 2011 May;124(9):1438-40.
After successful renal artery angioplasty and stent placement, a patient in a fully anticoagulated state developed hypotension and flank pain. Computed tomography (CT) of the abdomen revealed a large renal subcapsular haematoma which was successfully managed conservatively without embolotherapy and surgical intervention. To prevent hemorrhage after renal artery stenting, it is necessary to underscore the importance of reducing the contrast volume and pressure of angiography, controlling systemic blood pressure, and monitoring guide wire position at all times.
肾动脉血管成形术和支架置入术后,一位充分抗凝状态的患者出现低血压和侧腹痛。腹部 CT 显示巨大的肾包膜下血肿,经保守治疗成功,未行栓塞治疗和手术干预。为预防肾动脉支架置入术后出血,必须强调减少造影剂容积和压力、控制全身血压以及时刻监测导丝位置的重要性。