Supraselective embolization of renal pseudoaneurysm caused by an abdominal stab wound
Ibarz Servio, L.; Perendreu Sans, J.; Comet Batlle, J.; Muchart Masaller, J.; Saladié Roig, J.M.
Archivos Espanoles de Urologia 50(7): 805-807
1997
ISSN/ISBN: 0004-0614 PMID: 9412390 Document Number: 474296
To report the results of conservative management of post-traumatic (abdominal stab wound) pseudoaneurysm with arteriovenous fistula in segmental artery of left kidney and secondary persistent hematuria in an HIV positive patient. A supraselective left renal arteriography revealed a pseudoaneurysm. We performed embolization of the aneurysmal artery with coils and fibrin particles. Resolution of the hematuria was immediately achieved with no side effects or significant complications. In our view, supraselective embolization is the first option in the treatment of post-traumatic renal artery aneurysms due to its low morbidity and limited aggressiveness.