Hidden Renal Artery Pseudoaneurysm: The Need for Repeat Angiographic Intervention in a Symptomatic Patient

Ankur Doshi; Madeleine G. Manka; Christian Pavlovich; Martin Auster

doi:10.1016/j.eucr.2017.02.012

Hidden Renal Artery Pseudoaneurysm: The Need for Repeat Angiographic Intervention in a Symptomatic Patient

Ankur Doshi, Madeleine G. Manka, Christian Pavlovich, Martin Auster

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique. Repeat angiography may be required. Urologists and interventional radiologists together must keep RAP high on the differential even after a negative angiogram to adequately diagnose and treat symptomatic patients.

Original language	English (US)
Pages (from-to)	54-55
Number of pages	2
Journal	Urology Case Reports
Volume	12
DOIs	https://doi.org/10.1016/j.eucr.2017.02.012
State	Published - May 1 2017

Keywords

Coil embolization
Partial nephrectomy
Renal artery pseudoaneurysm

ASJC Scopus subject areas

Urology

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10.1016/j.eucr.2017.02.012

Cite this

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title = "Hidden Renal Artery Pseudoaneurysm: The Need for Repeat Angiographic Intervention in a Symptomatic Patient",

abstract = "Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique. Repeat angiography may be required. Urologists and interventional radiologists together must keep RAP high on the differential even after a negative angiogram to adequately diagnose and treat symptomatic patients.",

keywords = "Coil embolization, Partial nephrectomy, Renal artery pseudoaneurysm",

author = "Ankur Doshi and Manka, {Madeleine G.} and Christian Pavlovich and Martin Auster",

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year = "2017",

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doi = "10.1016/j.eucr.2017.02.012",

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T1 - Hidden Renal Artery Pseudoaneurysm

T2 - The Need for Repeat Angiographic Intervention in a Symptomatic Patient

AU - Doshi, Ankur

AU - Manka, Madeleine G.

AU - Pavlovich, Christian

AU - Auster, Martin

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique. Repeat angiography may be required. Urologists and interventional radiologists together must keep RAP high on the differential even after a negative angiogram to adequately diagnose and treat symptomatic patients.

AB - Renal artery pseudoaneurysm (RAP) is a well-known and life-threatening complication of partial nephrectomies. Angioembolization is the preferred intervention, allowing for visualization, diagnosis, and treatment in 96% of cases. We report a case of a pseudoaneurysm that was difficult to diagnose even with optimal technique, requiring repeat imaging and additional angiographic intervention. Our case shows that RAP after partial nephrectomies may be difficult to diagnose even with high suspicion and appropriate technique. Repeat angiography may be required. Urologists and interventional radiologists together must keep RAP high on the differential even after a negative angiogram to adequately diagnose and treat symptomatic patients.

KW - Coil embolization

KW - Partial nephrectomy

KW - Renal artery pseudoaneurysm

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Hidden Renal Artery Pseudoaneurysm: The Need for Repeat Angiographic Intervention in a Symptomatic Patient

Abstract

Keywords

ASJC Scopus subject areas

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