J Korean Neurosurg Soc.  2014 Feb;55(2):96-98. 10.3340/jkns.2014.55.2.96.

Renal Subcapsular Hematoma after Percutaneous Transfemoral Angiography

• Yi JS
• Lee HJ
• Lee HJ
• Yang JH

• KMID: 2191053
• DOI: http://doi.org/10.3340/jkns.2014.55.2.96

Abstract

Vascular complications after percutaneous angiography include hematoma, pseudoaneurysm, arteriovenous fistula, thromboembolism, arterial laceration and infection. Hematomas may occur in the groin, thigh, retroperitoneal, intraperitoneal, or abdominal wall. A 54-year-old female underwent percutaneous transfemoral angiography for the evaluation of cerebral aneurysm. Renal subcapsular hematoma developed 3 hours after the procedure. Renal subcapsular hematoma after percutaneous angiography is very rare. We investigated the possible causes of renal subcapsular hematoma. To avoid this rare complication, we need to perform guide-wire passage carefully from the beginning of the procedure under full visual monitoring.

Keyword

Renal artery; Anatomy; Catheterization; Vascular injuries

MeSH Terms

Abdominal Wall
Aneurysm, False
Angiography*
Arteriovenous Fistula
Catheterization
Female
Groin
Hematoma*
Humans
Intracranial Aneurysm
Lacerations
Middle Aged
Renal Artery
Thigh
Thromboembolism
Vascular System Injuries

Figure

• 

  Fig. 1 Post enhanced abdominal computed tomography (axial and coronal) image shows the left kidney being compressed by the subcapsular hematoma (arrows).

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  Fig. 2 Post-enhanced abdominal computed tomography (axial and coronal) after 8 months shows a complete resolution of the hematoma.

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  Fig. 3 64 Multidetector computed tomography three dimension angiogram shows bilateral accessory arteries (arrows) supplying the lower pole of the kidney. Right side accessory renal artery is located more distal than left.

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