Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement

David J. Axelrod, Hank Freeman, Lev Pukin, Jeffrey Guller, Harold A. Mitty

Research output: Contribution to journalArticlepeer-review

32 Scopus citations

Abstract

After successful renal artery angioplasty and stent placement, a patient in a fully anticoagulated state developed hypotension and flank pain. Review of the intraprocedural angiogram demonstrated transcortical position of the guide wire. Computed tomography of the abdomen revealed a large perinephric hematoma. Although only a single renal artery branch was accessed with the guide wire during stent placement, subsequent emergent angiography revealed extravasation from multiple capsular branches. Renal artery embolization failed to control the hemorrhage. The patient's course rapidly deteriorated and he ultimately died. The unique angiographic finding and proposed mechanism of this fatal complication are described and discussed.

Original languageEnglish
Pages (from-to)985-987
Number of pages3
JournalJournal of Vascular and Interventional Radiology
Volume15
Issue number9
DOIs
StatePublished - Sep 2004

Fingerprint

Dive into the research topics of 'Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement'. Together they form a unique fingerprint.

Cite this