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Hydrophilic guide wire-related renal artery perforation (RAP) and subsequent retroperitoneal hemorrhage (RPH) during coronary angiography (CAG) is very rare. We present the case of a 68-year-old woman who suffered accidental hydrophilic 0.035-inch guide wire piercing-related RAP and RPH during CAG and coronary intervention. This RAP was diagnosed by bedside ultrasonography and selective renal angiography, and was successfully treated by transcatheter polyvinyl alcohol injection. Copyright © 2012 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.


Sang Yeub Lee, Sang Min Kim, Jang-Whan Bae, Kyung-Kuk Hwang, Il Hun Bae, Dong-Woon Kim, Myeong-Chan Cho. Renal artery perforation related with hydrophilic guide wire during coronary intervention: successful treatment with polyvinyl alcohol injection. The Canadian journal of cardiology. 2012 Sep-Oct;28(5):612.e5-7

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PMID: 22575577

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