Endovascular repair of a nearly fatal iliac artery injury after endoureterotomy. (October 2013)

• Record Type: Journal Article
• Authors: Lopes, Roberto Iglesias; Torricelli, Fábio César Miranda; Gomes, Cristiano Mendes; Carnevale, Francisco; Bruschini, Homero; Srougi, Miguel
• Is Part Of: Scandinavian journal of urology. Volume 47:Number 5(2013:Oct.)
• Page Start: 437
• Page End: 439
• Publication Date: 2013-10
• Subjects: Urology -- Periodicals; 616.6
• DOI: 10.3109/21681805.2013.766902
• Languages: English
• ISSNs: 2168-1805

Abstract

<abstract> <title>Abstract</title> <p>Endourological methods are attractive procedures for the treatment of ureterointestinal stenosis. However, serious complications may occur. This article reports the case of an endovascular repair of a nearly fatal ruptured common iliac artery pseudoaneurysm after endoureterotomy. A 62-year-old man submitted to bilateral ureteroileostomy developed left ureteroileal anastomosis stricture. Endourological treatment with the Acucise® cutting balloon was performed and 4 days after the procedure the patient presented with massive bleeding through the ileal stoma and hypovolemic shock. Arteriography identified the source of bleeding as a pseudoaneurysm of the left common iliac artery. Repair with an endovascular graft stopped the bleeding immediately. Endovascular treatment of vascular injury after endoureterotomy should be considered.</p> </abstract>