J Korean Neurosurg Soc.  2014 Feb;55(2):96-98. 10.3340/jkns.2014.55.2.96.

Renal Subcapsular Hematoma after Percutaneous Transfemoral Angiography

Affiliations
  • 1Department of Neurosurgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea. hyungjin@catholic.ac.kr

Abstract

Vascular complications after percutaneous angiography include hematoma, pseudoaneurysm, arteriovenous fistula, thromboembolism, arterial laceration and infection. Hematomas may occur in the groin, thigh, retroperitoneal, intraperitoneal, or abdominal wall. A 54-year-old female underwent percutaneous transfemoral angiography for the evaluation of cerebral aneurysm. Renal subcapsular hematoma developed 3 hours after the procedure. Renal subcapsular hematoma after percutaneous angiography is very rare. We investigated the possible causes of renal subcapsular hematoma. To avoid this rare complication, we need to perform guide-wire passage carefully from the beginning of the procedure under full visual monitoring.

Keyword

Renal artery; Anatomy; Catheterization; Vascular injuries
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