Endovascular repair of a nearly fatal iliac artery injury after endoureterotomy

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7
Tipo de produção
article
Data de publicação
2013
Editora
INFORMA HEALTHCARE
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SCANDINAVIAN JOURNAL OF UROLOGY, v.47, n.5, p.437-439, 2013
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Endourological methods are attractive procedures for the treatment of ureterointestinal stenosis. However, serious complications may occur. This article reports the case of an endovascular repair of a nearly fatal ruptured common iliac artery pseudoaneurysm after endoureterotomy. A 62-year-old man submitted to bilateral ureteroileostomy developed left ureteroileal anastomosis stricture. Endourological treatment with the Acucise (R) cutting balloon was performed and 4 days after the procedure the patient presented with massive bleeding through the ileal stoma and hypovolemic shock. Arteriography identified the source of bleeding as a pseudoaneurysm of the left common iliac artery. Repair with an endovascular graft stopped the bleeding immediately. Endovascular treatment of vascular injury after endoureterotomy should be considered.
Palavras-chave
endovascular procedure, ureter, ureteral obstruction
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