An unusual renal colic during trans-arterial embolization after trauma and its multidisciplinary management.

IF 0.5 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
BJR Case Reports Pub Date : 2025-07-31 eCollection Date: 2025-07-01 DOI:10.1093/bjrcr/uaaf039
Pierpaolo Biondetti, Anna Maria Ierardi, Elisa De Lorenzis, Jacopo Tintori, Emanuele Montanari, Gianpaolo Carrafiello
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引用次数: 0

Abstract

Selective embolization is the treatment of choice for traumatic renal pseudoaneurysm (PSA) in stable patients. N-Butyl-2-cyanoacrilate (NBCA) is an embolic agent frequently used to embolize peripheral lesions. N-Butyl-2-cyanoacrilate is one of the most widely used embolic materials because it is easy to prepare, it acts quickly and is highly cost-effective. Its use, however, requires a learning curve before becoming confident and being able to handle it safely. We describe a case of embolization of a renal traumatic PSA without clear pre-procedural CT-evidence of artero-calyx fistula in which the migration of NBCA in the renal pelvis occurred during the procedure. We report the successful multidisciplinary management of this complication.

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创伤后经动脉栓塞术中不寻常的肾绞痛及其多学科处理。
选择性栓塞是稳定患者外伤性肾假性动脉瘤(PSA)的首选治疗方法。n -丁基-2-氰基丙烯酸酯(NBCA)是一种常用的栓塞剂,用于栓塞周围病变。正丁基-2-氰基丙烯酸酯是应用最广泛的栓子材料之一,因为它易于制备,作用迅速,成本效益高。然而,在变得自信并能够安全地使用它之前,它的使用需要一个学习曲线。我们描述了一个病例的肾创伤性PSA栓塞没有明确的术前ct证据动脉-盏瘘,其中NBCA在肾盂的迁移发生在手术过程中。我们报告成功的多学科管理的并发症。
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来源期刊
BJR Case Reports
BJR Case Reports RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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77
审稿时长
11 weeks
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