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Superselective embolization of renal hemorrhage occurring after percutaneous coronary intervention

Luca Favero1, Salvatore Saccà, Carlo Cernetti

  • 1Department of Cardiology, Mirano Hospital, Mirano, Italy. lfaverotv@yahoo.it

Cardiovascular Revascularization Medicine : Including Molecular Interventions
|January 23, 2009
PubMed

Insights

A patient experienced severe bleeding after a cardiac procedure but was successfully treated with embolization. This case highlights a rare complication and effective management of renal hemorrhage.

Area of Science:

  • Cardiology
  • Interventional Radiology
  • Nephrology

Background:

  • Acute coronary syndrome (ACS) management often involves antiplatelet and anticoagulant therapies.
  • Percutaneous coronary intervention (PCI) with stent implantation is a standard treatment for ACS.
  • Renal artery bleeding is a rare but serious complication following interventional procedures.

Observation:

  • A 69-year-old female developed hemorrhagic shock post-PCI due to massive left renal hemorrhage.
  • Digital subtraction angiography identified a bleeding left segmental renal artery.

Findings:

  • Transcatheter superselective embolization successfully controlled the renal artery bleeding.
  • The patient recovered well with normal renal function and was discharged after 22 days.
  • One-year follow-up confirmed an uneventful recovery.

Implications:

  • This case underscores the importance of vigilance for rare complications like renal hemorrhage after PCI.
  • Transcatheter embolization is an effective minimally invasive treatment for iatrogenic renal artery bleeding.
  • Multidisciplinary collaboration between cardiology and interventional radiology is crucial for managing such adverse events.

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