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Updated: Jun 12, 2025

Use of a Hanging-weight System for Isolated Renal Artery Occlusion
Published on: July 19, 2011
Renal artery pseudoaneurysm presenting in a single functioning kidney with prior partial nephrectomy following
Tariq Asi1, Natalie Khamashta2, Ahmad Dalal2
1Department of Urology, Main Campus, Al-Quds University, Jerusalem 20002, Palestine.
Abstract:
Renal artery pseudoaneurysm (RAP) formation following flexible ureterorenoscopy (FURS) with laser lithotripsy is rare. Previous kidney surgery places patients at an increased risk due to potential vascular injury associated with renal intervention. In our case, a 62-year-old man with a single functioning right kidney and a history of right partial nephrectomy presented 10 days following FURS with holmium laser lithotripsy, complaining of gross hematuria. Attempted conservative management failed. Renal arteriography was done, which revealed a RAP that was managed with selective angioembolization. RAP following FURS can be serious if not managed properly. Most cases present with late gross hematuria. RAP can usually be demonstrated on renal arteriography. Selective angioembolization is the definitive treatment.
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