DZIELIMY SIĘ DOŚWIADCZENIEM<br>Urinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?

Agata Duszańska; Andrzej Świątkowski; Jan Głowacki; Marcin Świerad; Zbigniew Kalarus

eISSN: 1897-4252
ISSN: 1731-5530

Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery

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4/2009
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abstract:

DZIELIMY SIĘ DOŚWIADCZENIEM
Urinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?

Agata Duszańska

,

Andrzej Świątkowski

,

Jan Głowacki

,

Marcin Świerad

,

Zbigniew Kalarus

Kardiochirurgia i Torakochirurgia Polska 2009; 6 (4): 391–394

Online publish date: 2009/12/30

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AMA

Duszańska A, Świątkowski A, Głowacki J, Świerad M, Kalarus Z. DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2009;6(4):391-394.

APA

Duszańska, A., Świątkowski, A., Głowacki, J., Świerad, M.,  & Kalarus, Z. (2009). DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 6(4), 391-394.

Chicago

Duszańska, Agata, Andrzej Świątkowski, Jan Głowacki, Marcin Świerad,  and Zbigniew Kalarus. 2009. "DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?". Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 6 (4): 391-394.

Harvard

Duszańska, A., Świątkowski, A., Głowacki, J., Świerad, M.,  and Kalarus, Z. (2009). DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, 6(4), pp.391-394.

MLA

Duszańska, Agata et al. "DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?." Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery, vol. 6, no. 4, 2009, pp. 391-394.

Vancouver

Duszańska A, Świątkowski A, Głowacki J, Świerad M, Kalarus Z. DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery. 2009;6(4):391-394.

We report a case of urinary bladder outlet obstruction post successful renal artery stenting (RAS).
A 28-year old hypertensive man with left renal artery stenosis was referred for an elective RAS. Renal artery angiogram confirmed subtotal left artery occlusion. RAS was performed without any initial complications. Two hours after RAS the patient developed left-sided pain followed by haematuria and then anuria. Urgent abdominal ultrasound scan showed urinary bladder filled with thrombotic masses and no signs of renal artery rupture and retroperitoneal haemorrhage. Obstruction of the bladder was released by mechanical maneuvering with Foley catheter and washing out the bladder with saline.

Conclusions: Severe haematuria resulting in urinary tract blockage may complicate renal artery stenting. The most likely explanation for such a complication is hyperperfusion phenomenon. Further studies are warranted to establish the incidence, risk factors and postprocedural treatment standards of such complication.

keywords:

DZIELIMY SIĘ DOŚWIADCZENIEMUrinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?

Agata Duszańska , Andrzej Świątkowski , Jan Głowacki , Marcin Świerad , Zbigniew Kalarus

hyperperfusion, complication, renal artery stenting

DZIELIMY SIĘ DOŚWIADCZENIEM
Urinary bladder outlet obstruction post renal artery stenting – a case of hyperperfusion syndrome?

Agata Duszańska

,

Andrzej Świątkowski

,

Jan Głowacki

,

Marcin Świerad

,

Zbigniew Kalarus