Renal artery perforation related with hydrophilic guide wire during coronary intervention: successful treatment with polyvinyl alcohol injection

Can J Cardiol. 2012 Sep-Oct;28(5):612.e5-7. doi: 10.1016/j.cjca.2012.03.007. Epub 2012 May 8.

Abstract

Hydrophilic guide wire-related renal artery perforation (RAP) and subsequent retroperitoneal hemorrhage (RPH) during coronary angiography (CAG) is very rare. We present the case of a 68-year-old woman who suffered accidental hydrophilic 0.035-inch guide wire piercing-related RAP and RPH during CAG and coronary intervention. This RAP was diagnosed by bedside ultrasonography and selective renal angiography, and was successfully treated by transcatheter polyvinyl alcohol injection.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / methods
  • Cardiac Catheterization / adverse effects
  • Chest Pain / diagnosis
  • Chest Pain / etiology
  • Coronary Angiography / adverse effects
  • Coronary Angiography / methods
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy*
  • Embolization, Therapeutic / methods*
  • Female
  • Follow-Up Studies
  • Hemorrhage / etiology
  • Hemorrhage / therapy*
  • Humans
  • Polyvinyl Alcohol / pharmacology*
  • Renal Artery / injuries*
  • Retroperitoneal Space
  • Risk Assessment
  • Treatment Outcome

Substances

  • Polyvinyl Alcohol