经皮肾镜取石术后假性动脉瘤所致延迟出血的经皮再次手术方法
Percutaneous re-surgical approach for delayed bleeding caused by pseudoaneurysm following percutaneous nephrolithotomy.
作者信息
Nouralizadeh Akbar, Rostaminejad Niloofar, Radpour Negar, Momeni Hamidreza, Narouie Behzad, Dadpour Mehdi
机构信息
Department of Urology, Shahid Labbafinejad Medical Center, The Center of Excellence in Urology, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran.
出版信息
Urol Case Rep. 2023 Aug 28;50:102551. doi: 10.1016/j.eucr.2023.102551. eCollection 2023 Sep.
Post percutaneous nephrolithotomy (PCNL) vascular complications included arteriovenous fistula and pseudoaneurysm can cause early or late bleeding and result in unstable condition. Selective -arterial embolization is the gold standard technique to manage arterial pseudoaneurysm. Herein, we present a case of pseudoaneurysm following PCNL and describe an alternative technique for its removal using a grasper under C-arm vision. Percutaneous re-surgical approach to post-PCNL hemorrhage due to pseudoaneurysm by using a nephro-grasper to pick up the renal artery pseudoaneurysm would be safe, effective and can provide a direct view of pyelocaliceal system for surgeons; And can be a proper alternative for angioembolization.
经皮肾镜取石术（PCNL）后的血管并发症包括动静脉瘘和假性动脉瘤，可导致早期或晚期出血，并导致病情不稳定。选择性动脉栓塞是治疗动脉假性动脉瘤的金标准技术。在此，我们报告一例PCNL术后假性动脉瘤的病例，并描述一种在C形臂透视下使用抓钳切除假性动脉瘤的替代技术。通过使用肾抓钳抓取肾动脉假性动脉瘤，经皮再次手术治疗PCNL术后因假性动脉瘤引起的出血是安全、有效的，可为外科医生提供肾盂肾盏系统的直接视野；并且可以成为血管栓塞的合适替代方法。
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