Successful treatment of iatrogenic renal artery perforation with an autologous vein-covered stent

Charleston Area Medical Center (CAMC) Health Education and Research Institute-Cardiovascular Division, Charleston, West Virginia 25304, USA.
Catheterization and Cardiovascular Interventions (Impact Factor: 2.11). 09/2002; 57(1):39-43. DOI: 10.1002/ccd.10265
Source: PubMed

ABSTRACT A 72-year-old woman developed severe flank pain associated with hemodynamic compromise immediately after a J-curve guidewire was inadvertently advanced into the right renal artery during cardiac catheterization. Contrast extravasation consistent with perforation of the main renal artery was seen on abdominal angiography. The perforation was successfully sealed using a premounted coronary stent that was covered with an autologous antecubital vein. Wide stent patency without aneurismal dilatation was confirmed on a 2-year follow-up renal angiogram.

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