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Supraselective embolization of renal pseudoaneurysm caused by an abdominal stab wound]

Archivos españoles de urología(1997)

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Abstract
To report the results of conservative management of post-traumatic (abdominal stab wound) pseudoaneurysm with arteriovenous fistula in segmental artery of left kidney and secondary persistent hematuria in an HIV positive patient.A supraselective left renal arteriography revealed a pseudoaneurysm. We performed embolization of the aneurysmal artery with coils and fibrin particles. Resolution of the hematuria was immediately achieved with no side effects or significant complications.In our view, supraselective embolization is the first option in the treatment of post-traumatic renal artery aneurysms due to its low morbidity and limited aggressiveness.
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Key words
renal pseudoaneurysm,supraselective embolization,abdominal stab wound
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