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Angiologia e Cirurgia Vascular
Print version ISSN 1646-706X
Abstract
CUNHA, Roberto et al. Pseudoaneurysm after partial nephrectomy managed by selective angiographic embolization - a case report. Angiol Cir Vasc [online]. 2023, vol.19, n.4, pp.244-245. Epub Jan 31, 2024. ISSN 1646-706X. https://doi.org/10.48750/acv.557.
Introduction:
Partial nephrectomy is considered the gold standard treatment for many renal tumors when technically feasible. Renal artery pseudoaneurysm and arteriovenous fistulas are rare life-threatening complications that occur more frequently after laparoscopic rather than open partial nephrectomy.
Case report:
The authors present a case of a 67-year-old female patient with persistent hematuria due to a renal pseudoaneurysm after partial laparoscopic nephrectomy is presented. The patient underwent selective embolization of the pseudoaneurysm using
Conclusion:
Arterial lesions after partial nephrectomy may be amenable to embolization with the advantage of renal parenchyma and function preservation, by comparison with more invasive interventions such as total nephrectomy. Active surveillance of patients after laparoscopic partial nephrectomy should be performed.
Keywords : Partial nephrectomy; laparoscopy; Pseudoaneurysm; Selective embolization.