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Open Medicine

formerly Central European Journal of Medicine

Editor-in-Chief: Darzynkiewicz, Zbigniew


IMPACT FACTOR 2018: 1.221

CiteScore 2018: 1.01

SCImago Journal Rank (SJR) 2018: 0.329
Source Normalized Impact per Paper (SNIP) 2018: 0.479

ICV 2018: 156.09

Open Access
Online
ISSN
2391-5463
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Volume 8, Issue 3

Issues

Volume 10 (2015)

Polymer-glue as a life and kidney function saver: a life-threatening hemorrhage in the ruptured upper pole artery of the kidney managed by percutaneous embolization — a case report and literature review

Artur Antoniewicz / Izabela Wojtkowska
  • Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland
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/ Mirosław Dziekiewicz
  • Department of General, Vascular and Oncological Surgery, Military Institute of Medicin, 128 Szaserów St., 04-141, Warsaw, Poland
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/ Cezary Kępka
  • Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland
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/ Elżbieta Kremis
  • Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland
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/ Łukasz Zapała / Ryszard Skiba / Janina Stępińska
  • Department of Interventional Cardiology and Angiology, The Cardinal Stefan Wyszyński Institute of Cardiology, 42 Alpejska St., 04-628, Warsaw, Poland
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Published Online: 2013-04-17 | DOI: https://doi.org/10.2478/s11536-012-0085-x

Abstract

In this paper we report the case of a nearly fatal hemorrhage in the artery of the renal upper pole that occurred in a 84-year-old woman on anticoagulation treatment in connection with aortic valve replacement 4 days prior to the incident. The artery was injured during the evacuation of a hematoma of the right pleural cavity. While the patient was in the intensive care unit recovering from cardiac valve surgery, the consulting urologist was summoned in order to cope with massive hematuria and acute urine retention. Unfortunately, conservative urological management based on catherization via a three-way catheter and constant transurethral lavage with saline was unsuccessful. Angio-computed tomography revealed a ruptured branch of the renal upper pole artery. A highly selective embolization using histoacryl injection during percutaneous angioplasty was performed. There were no complications in the following days. The patient was subject to postoperative follow-up at 3, 6 and 9 months and renal scintigraphy was performed at 6 months revealing symmetrical function of both kidneys without any changes in the upper pole of the right kidney.

Keywords: Polymer-glue; Percutaneous embolization; A life-threatening kidney hemorrhage

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About the article

Published Online: 2013-04-17

Published in Print: 2013-06-01


Citation Information: Open Medicine, Volume 8, Issue 3, Pages 339–342, ISSN (Online) 2391-5463, DOI: https://doi.org/10.2478/s11536-012-0085-x.

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© 2013 Versita Warsaw. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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