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Renal bleed and dissection

Renal bleed and dissection


Post nephrolithotomy and nephrostomy tube insertion by nephrologist: Persistent drop in Hb and clots in the urine, suspecting bleed. Successful embolization. Repeat angiogram demonstrate residual bleeding, with the host catheter tip moving forward with respiration causing a focal dissection of the main renal artery. No bleeding thru the true lumen. Patient stable.  

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