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Cardiovasc Intervent Radiol. 2009 Jul;32(4):767-71. doi: 10.1007/s00270-009-9522-x. Epub 2009 Feb 12.

Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy.

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Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.


We report a case of a 43-year-old man who developed intractable hematuria after percutaneous nephrolithotomy. Angiography detected a pseudoaneurysm arising from the lower polar artery; however, embolization could not be performed because of unfavorable vascular anatomy. A percutaneous thrombin injection under ultrasound guidance initially controlled the bleeding, but hematuria subsequently recurred as a result of recanalization of the aneurysm. The case was successfully managed with ultrasound- and fluoroscopic-guided direct injection of cyanoacrylate glue into the pseudoaneurysm.

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