Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement.

@article{Axelrod2004GuideWP,
  title={Guide wire perforation leading to fatal perirenal hemorrhage from transcortical collaterals after renal artery stent placement.},
  author={David J. Axelrod and Hank Freeman and Lev Pukin and Jeffrey Guller and Harold A. Mitty},
  journal={Journal of vascular and interventional radiology : JVIR},
  year={2004},
  volume={15 9},
  pages={985-7}
}
After successful renal artery angioplasty and stent placement, a patient in a fully anticoagulated state developed hypotension and flank pain. Review of the intraprocedural angiogram demonstrated transcortical position of the guide wire. Computed tomography of the abdomen revealed a large perinephric hematoma. Although only a single renal artery branch was accessed with the guide wire during stent placement, subsequent emergent angiography revealed extravasation from multiple capsular branches… CONTINUE READING