Pseudoaneurysm after partial nephrectomy managed by selective angiographic embolization – a case report

Authors

  • Roberto Cunha Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal https://orcid.org/0000-0003-2252-9872
  • Manuel Silva Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal
  • Pedro Sousa Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal https://orcid.org/0000-0001-6999-3539
  • Mafalda Correia Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal https://orcid.org/0000-0002-1134-7400
  • Isabel Vieira Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal https://orcid.org/0000-0002-8131-6116
  • Isabel Cássio Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal
  • Nelson Oliveira Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal https://orcid.org/0000-0002-6737-3691
  • Emanuel Dias Serviço de Angiologia e Cirurgia Vascular do Hospital Divino Espírito Santo, Ponta Delgada, Portugal

DOI:

https://doi.org/10.48750/acv.557

Keywords:

Partial nephrectomy, laparoscopy, Pseudoaneurysm, Selective embolization

Abstract

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.

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References

Hidas G, Croitoru S, Wolfson V, Moskovitz B, Nativ O. Renal artery pseudoaneurysm after partial nephrectomy complicated by rupture into the collecting system, managed by selective angiographic embolization. Isr Med Assoc J. 2005;7:410–1.

Chiancone F, Fedelini M, Pucci L, Di Lorenzo D, Meccariello C, Fedelini P. Emergent Embolization of a Very Late Detected Pseudoaneurysm at a Lower Pole Subsegmental Artery of the Kidney after Clampless Laparoscopic Partial Nephrectomy. Curr Urol. 2017;10:105–7.

Shakhssalim N, Nouralizadeh A, Soltani MH. Renal artery pseudoaneurysm following a laparoscopic partial nephrectomy hemorrhage after a successful embolization. Urol J. 2010;7:12–4.

Strobl FF, D’Anastasi M, Hinzpeter R, Franke PS, Trumm CG, Waggershauser T, et al. Renal Pseudoaneurysms and Arteriovenous Fistulas as a Complication of Nephron-Sparing Partial Nephrectomy: Technical and Functional Outcomes of Patients Treated with Selective Microcoil Embolization during a Ten-Year Period. RoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgeb Verfahren. 2016;188:188–94.

Ettorre A, Alejandre-Lafont E, Syed FH, Most A, Hamm CW, Bauer P. Ultrasound Diagnosed Rare Partial Nephrectomy Complication. Int J Angiol. 2019;28:25–7.

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Published

2024-03-03

How to Cite

1.
Cunha R, Silva M, Sousa P, Correia M, Vieira I, Cássio I, Oliveira N, Dias E. Pseudoaneurysm after partial nephrectomy managed by selective angiographic embolization – a case report. Angiol Cir Vasc [Internet]. 2024 Mar. 3 [cited 2024 Apr. 12];19(4):244-5. Available from: https://acvjournal.com/index.php/acv/article/view/557

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Section

Clinical Case