Endovascular Coil Embolization in a Postnephrostomy Renal Vein to Renal Pelvis Fistula

We report the case of a 74-year-old man with post-percutaneous-nephrostomy venous hemorrhage from an iatrogenic fistula between the renal pelvis and a large tributary of the renal vein. Conservative management failed to contain the hemorrhage. Hence the fistula was occluded by coil embolization thro...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2011-02, Vol.34 (Suppl 2), p.94-97
Main Authors: Anil, Gopinathan, Taneja, Manish
Format: Article
Language:English
Subjects:
Aged
ANIMALS
BLOOD VESSELS
BODY
Cardiology
CARDIOVASCULAR SYSTEM
Case Report
Embolization, Therapeutic
Fistula - diagnosis
Fistula - therapy
Humans
Iatrogenic Disease
Imaging
Kidney Diseases - diagnosis
Kidney Diseases - therapy
Kidney Pelvis - injuries
KIDNEYS
Male
MAMMALS
MAN
Medicine
Medicine & Public Health
Nephrostomy, Percutaneous - adverse effects
Nuclear Medicine
ORGANS
PELVIS
Phlebography
Postoperative Hemorrhage - diagnosis
Postoperative Hemorrhage - therapy
PRIMATES
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
Renal Veins - injuries
Ultrasound
Ureteral Obstruction - surgery
Urinary Fistula - diagnosis
Urinary Fistula - therapy
VEINS
VERTEBRATES
Citations: Items that this one cites
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Description
Summary:We report the case of a 74-year-old man with post-percutaneous-nephrostomy venous hemorrhage from an iatrogenic fistula between the renal pelvis and a large tributary of the renal vein. Conservative management failed to contain the hemorrhage. Hence the fistula was occluded by coil embolization through the renal vein. This endovascular approach enabled rapid and effective stoppage of the venous bleed.There was no recurrence of the bleed or any pertinent complication at 3-month follow-up.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-009-9767-4