{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:34:47Z","timestamp":1787758487130,"version":"build-2784847793"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>We evaluated the efficacy of the mixture of autologous blood and a hemostatic agent, oxidized regenerative cellulose (ORC), as an alternative material for ultrasound (US)-guided percutaneous embolization of renal pseudoaneurysm (PA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, consecutive patients diagnosed with renal PA were included. The exclusion criteria were: PA of the main renal artery, tiny PA not visualized on the colour doppler ultrasonography, PA more than 3 cm in max diameter or extracapsular PA with the possibility of massive bleeding, and patients with a history of coagulation disorders. After localizing the PA, a mixture of autologous blood and ORC was injected under US guidance with a 15G coaxial needle. Patients were followed up for at least 6 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-nine patients with PA were included, of which 26 had a history of percutaneous nephrolithotomy, and three patients had a history of renal biopsy (24 men and five women with an average age of 44.3 years). Gross hematuria was the most common mode of presentation. The mean size of the PA was 16.6 mm and the mean duration of follow-up was 9 months. The clinical and the technical success rate was 100%. The PA could be thrombosed in all the patients with a single-session of injection. No acute (hematoma, infection, and bleeding) or chronic (thromboembolic events, renal cortical atrophy, and recurrence) complications were seen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Percutaneous embolization of renal PA under US guidance with a mixture of autologous blood and ORC is an efficient and easily available first-line method to treat this potentially life-threatening condition when endovascular embolization or other expensive thrombotic agents are not available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_109_22","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T07:37:30Z","timestamp":1664523450000},"page":"296-301","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Percutaneous embolization of renal pseudoaneurysms"],"prefix":"10.4103","volume":"38","author":[{"given":"Seyed Morteza","family":"Bagheri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Ghadamzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammadreza","family":"Chavoshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20240903","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1038\/nrurol.2010.163","article-title":"Renal pseudoaneurysm: An overview","volume":"7","author":"Ngo","year":"2010","journal-title":"Nat Rev Urol"},{"key":"R2-10-20240903","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/S1072-7515(03)00375-2","article-title":"Treatment of iatrogenic false aneurysms","volume":"197","author":"Franklin","year":"2003","journal-title":"J Am Coll Surg"},{"key":"R3-10-20240903","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1089\/end.2009.0342","article-title":"Renal artery pseudoaneurysm: Complication of minimally invasive kidney surgery","volume":"24","author":"Inci","year":"2010","journal-title":"J Endourol"},{"key":"R4-10-20240903","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.juro.2009.03.036","article-title":"Renal artery pseudoaneurysm from blunt abdominal trauma","volume":"182","author":"Steinway","year":"2009","journal-title":"J Urol"},{"key":"R5-10-20240903","doi-asserted-by":"crossref","first-page":"S173","DOI":"10.1148\/rg.25si055503","article-title":"Pseudoaneurysms and the role of minimally invasive techniques in their management","volume":"25","author":"Saad","year":"2005","journal-title":"Radiographics"},{"key":"R6-10-20240903","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.clinimag.2009.12.001","article-title":"Renal aneurysms and pseudoaneurysms","volume":"35","author":"Cura","year":"2011","journal-title":"Clin Imaging"},{"key":"R7-10-20240903","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1007\/s00270-007-9194-3","article-title":"Postpyelolithotomy renal artery pseudoaneurysm management with percutaneous thrombin injection: A case report","volume":"31","author":"Gupta","year":"2008","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R8-10-20240903","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s00270-009-9522-x","article-title":"Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy","volume":"32","author":"Lal","year":"2009","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R9-10-20240903","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1002\/jcu.22462","article-title":"Successful ultrasound-guided percutaneous embolization of renal pseudoaneurysm by autologous blood clot: Preliminary report of a new method","volume":"45","author":"Zare Mehrjardi","year":"2017","journal-title":"J Clin Ultrasound"},{"key":"R10-10-20240903","first-page":"80","article-title":"Experiences with use of thrombin with and without soluble cellulose for local hemostasis","volume":"5","author":"Cronkite","year":"1944","journal-title":"War Med"},{"key":"R11-10-20240903","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1097\/00000658-194408000-00005","article-title":"Hemostasis with absorbable gauze (oxidized cellulose)","volume":"120","author":"Frantz","year":"1944","journal-title":"Ann Surg"},{"key":"R13-10-20240903","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.2146\/ajhp060003","article-title":"Absorbable hemostatic agents","volume":"63","author":"Gabay","year":"2006","journal-title":"Am J Health Syst Pharm"},{"key":"R14-10-20240903","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.transci.2011.10.013","article-title":"Topical hemostatic agents in surgical practice","volume":"45","author":"Emilia","year":"2011","journal-title":"Transfus Apher Sci"},{"key":"R15-10-20240903","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1007\/s10570-012-9828-8","article-title":"Hemostatic efficacy and tissue reaction of oxidized regenerated cellulose hemostats","volume":"20","author":"Hutchinson","year":"2013","journal-title":"Cellulose"},{"key":"R16-10-20240903","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s12223-017-0534-7","article-title":"Antimicrobial effect of OKCEL\u00ae H-D prepared from oxidized cellulose","volume":"63","author":"Mo\u0165kov\u00e1","year":"2018","journal-title":"Folia Microbiol (Praha"},{"key":"R17-10-20240903","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1089\/109629603322419599","article-title":"In vitro antimicrobial activity of oxidized regenerated cellulose against antibiotic-resistant microorganisms","volume":"4","author":"Spangler","year":"2003","journal-title":"Surg Infect (Larchmt"},{"key":"R18-10-20240903","doi-asserted-by":"crossref","first-page":"115585","DOI":"10.1016\/j.carbpol.2019.115585","article-title":"Oxidized cellulose-based hemostatic materials","volume":"230","author":"Zhang","year":"2020","journal-title":"Carbohydr Polym"},{"key":"R20-10-20240903","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1177\/1076029617751177","article-title":"Comparative evaluation of biological performance, biosecurity, and availability of cellulose-based absorbable hemostats","volume":"24","author":"Wu","year":"2018","journal-title":"Clin Appl Thromb Hemost"},{"key":"R21-10-20240903","first-page":"601","article-title":"Autologous blood clot embolization into a bleeding renal artery pseudoaneurysm","volume":"44","author":"Adler","year":"1975","journal-title":"Radiol Clin (Basel"},{"key":"R22-10-20240903","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1016\/j.jvir.2011.06.020","article-title":"Percutaneous embolization of iatrogenic arterial kidney injuries: Safety, efficacy, and impact on blood pressure and renal function","volume":"22","author":"Sam","year":"2011","journal-title":"J Vasc Interv Radiol"},{"key":"R23-10-20240903","doi-asserted-by":"crossref","first-page":"e8187","DOI":"10.1097\/MD.0000000000008187","article-title":"Management of iatrogenic renal arteriovenous fistula and renal arterial pseudoaneurysm by transarterial embolization: A single center analysis and outcomes","volume":"96","author":"Guo","year":"2017","journal-title":"Medicine (Baltimore"},{"key":"R24-10-20240903","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s11547-013-0343-2","article-title":"Transcatheter embolisation of iatrogenic renal vascular injuries","volume":"119","author":"Ierardi","year":"2014","journal-title":"Radiol Med"},{"key":"R25-10-20240903","doi-asserted-by":"crossref","first-page":"380","DOI":"10.4103\/0971-3026.169454","article-title":"Clinical outcomes of endovascularly managed iatrogenic renal hemorrhages","volume":"25","author":"Chiramel","year":"2015","journal-title":"Indian J Radiol Imaging"},{"key":"R26-10-20240903","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.jvs.2012.09.042","article-title":"Endovascular treatment of renal artery aneurysms and renal arteriovenous fistulas","volume":"57","author":"Zhang","year":"2013","journal-title":"J Vasc Surg"},{"key":"R27-10-20240903","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1089\/end.2008.0559","article-title":"Direct percutaneous embolization of renal pseudoaneurysm","volume":"23","author":"Sakr","year":"2009","journal-title":"J Endourol"},{"key":"R28-10-20240903","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1002\/jcu.22274","article-title":"Complications of percutaneous thrombin injection in patients with postcatheterization femoral pseudoaneurysm","volume":"44","author":"Kurzawski","year":"2016","journal-title":"J Clin Ultrasound"},{"key":"R29-10-20240903","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/j.juro.2006.09.048","article-title":"Post-percutaneous nephrolithotomy extensive hemorrhage: A study of risk factors","volume":"177","author":"El-Nahas","year":"2007","journal-title":"J Urol"},{"key":"R30-10-20240903","doi-asserted-by":"crossref","first-page":"398","DOI":"10.5414\/CNP58398","article-title":"Color-coded duplex sonography study of arteriovenous fistulae and pseudoaneurysms complicating percutaneous renal allograft biopsy","volume":"58","author":"Brandenburg","year":"2002","journal-title":"Clin Nephrol"},{"key":"R31-10-20240903","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1007\/s00330-002-1482-3","article-title":"Complication rate and diagnostic yield of 515 consecutive ultrasound-guided biopsies of renal allografts and native kidneys using a 14-gauge Biopty gun","volume":"13","author":"Preda","year":"2003","journal-title":"Eur Radiol"}],"container-title":["Indian Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_109_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:16:31Z","timestamp":1787757391000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/iju.iju_109_22"}},"subtitle":["A retrospective study"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/iju.iju_109_22","relation":{},"ISSN":["0970-1591"],"issn-type":[{"value":"0970-1591","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}