Endovascular repair of a nearly fatal iliac artery injury after endoureterotomy

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art_LOPES_Endovascular_repair_of_a_nearly_fatal_iliac_artery_2013.PDF (128.48 KB)
Citações na Scopus
6
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
INFORMA HEALTHCARE
Autores
Citação
SCANDINAVIAN JOURNAL OF UROLOGY, v.47, n.5, p.437-439, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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
URI
https://observatorio.fm.usp.br/handle/OPI/3848
Referências
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - HC/IOT
Artigos e Materiais de Revistas Científicas - LIM/55
Artigos e Materiais de Revistas Científicas - ODS/03