采用弹簧圈栓塞术治疗破裂的远端肾动脉假性动脉瘤伴肉眼血尿和失血性休克。
Coil embolization of ruptured distal renal artery pseudoaneurysm with gross hematuria and hemorrhagic shock.
作者信息
McSweeney Andrea, Tarpara Anand, Salvatore Dawn, DiMuzio Paul, Nooromid Michael, Abai Babak
机构信息
Jefferson Vascular Center, Division of Vascular and Endovascular Surgery, Thomas Jefferson University, Philadelphia, PA.
出版信息
J Vasc Surg Cases Innov Tech. 2022 Mar 22;8(2):210-213. doi: 10.1016/j.jvscit.2022.03.005. eCollection 2022 Jun.
Renal artery pseudoaneurysms have been infrequently reported in the literature. In the present report, we have described a case of a ruptured renal artery pseudoaneurysm requiring coil embolization. A 49-year-old man had presented to our institution with a hypertensive emergency. Computed tomography revealed a 3.4-cm right renal artery pseudoaneurysm. Nonemergent coil embolization was planned for the following day. However, he became hypotensive, exsanguinating frank blood from the urethra. An arteriogram showed extravasation of contrast into the pseudoaneurysm sac, renal pelvis, and ureter, consistent with intrarenal pseudoaneurysm rupture. We have demonstrated coil embolization as a method of repairing a ruptured renal artery pseudoaneurysm with gross hematuria.
肾动脉假性动脉瘤在文献中的报道较少。在本报告中，我们描述了一例破裂性肾动脉假性动脉瘤病例，该病例需要进行弹簧圈栓塞治疗。一名49岁男性因高血压急症前来我院就诊。计算机断层扫描显示右肾动脉有一个3.4厘米的假性动脉瘤。计划次日进行非急诊弹簧圈栓塞治疗。然而，他出现了低血压，尿道大量出血。血管造影显示造影剂外渗至假性动脉瘤囊、肾盂和输尿管，符合肾内假性动脉瘤破裂。我们已证明弹簧圈栓塞是一种治疗伴有严重血尿的破裂性肾动脉假性动脉瘤的方法。
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