Technique:
Right sided 5 Fr retrograde CFA puncture. A 5 Fr pigtail was used to perform initial DSA.
Findings:
Performed under local anaesthesia with IV sedation and analgesia.
50% of kidney devascularised. Large truncated (transected/dissected) vessel. 3 false aneurysms demonstrated on main trunk/ upper/ lower polar arteries.
Embolisation:
Truncated vessel inferior-midpolar region initially probed, however active extravasation therefore rapidly coiled with succession of IDC 018 microcoils (runs 5 & 6).
The pseudoaneurysms were subsequently probed however superselective embolisation was not possible due to the arrangement/anatomy therefore the kidney was not salvageable. After discussion with surgeon it was decided to coil main renal artery. This was successfully occluded with combination of pushable 035 coils (runs 7 & 8).