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1. Ultrasound‐guided embolization for renal artery pseudoaneurysm in solitary kidney

Author

Sana Augustine, Mitwa Patel, Pugazhendi Inban, Sk Sadia Rahman Synthia, Ummul Z Asfeen, Aliza Yaqub, Aadil Mahmood Khan, and Mansi Singh

Subjects
partial nephrectomy, percutaneous nephrolithotomy (PCNL), renal artery pseudoaneurysm (RAP), solitary kidney, ultrasound‐guided embolization, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Introduction Renal artery pseudoaneurysm is a rare yet serious complication following percutaneous nephrolithotomy, especially in patients with solitary kidneys. Effective management is crucial to prevent further renal damage. Case presentation We report a case of a 41‐year‐old male with a solitary kidney who experienced gross hematuria and renal insufficiency 3 months after percutaneous nephrolithotomy. Due to the patient's renal insufficiency and the risks associated with arterial catheterization, ultrasound‐guided embolization was chosen as the treatment approach. Initial angiographic attempts were impeded by renal vessel spasms, delaying intervention. However, successful direct percutaneous embolization was subsequently performed using ultrasound and digital subtraction angiography. Conclusion The patient's recovery was uneventful, and follow‐up assessments showed no recurrence of renal artery pseudoaneurysm. This case highlights the effectiveness of ultrasound‐guided embolization as a viable treatment option for post‐percutaneous nephrolithotomy renal artery pseudoaneurysm, particularly in patients with solitary kidneys.

Published
2025
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3. Prophylactic use of silicone dressing to minimize pressure injuries: Systematic review and meta-analysis

Author

Sk Sadia Rahman-Synthia, Sumeet Kumar, Sukhman Boparai, Swatika Gupta, Ali Mohtashim, and Danish Ali

Subjects
General Medicine
Abstract

Preventing hospital-acquired pressure injuries (PI) in critically ill patients remains a significant clinical challenge because of its associated high risk for comorbid conditions. We assessed the preventive effectiveness of silicone dressings among patients admitted in intensive care units and non-intensive care units settings.A literature search was conducted across 3 electronic databases (MEDLINE, EMBASE, Cochrane Central) from inception through December 2021. Studies assessing the effectiveness of silicone dressing on the incidence of PI on the sacral area were included. Evaluations were reported as risk ratios (RRs) with 95% confidence interval, and analysis was performed using a random-effects model.Of the 1056 articles retrieved from the initial search, 11 studies were included in the final analysis. Silicone dressings significantly reduced the incidence of PI compared to usual care (RR: 0.30, 95% CI: 0.19-0.45, P0.01). We found no significant difference between results of studies conducted in intensive care settings (RR=0.25, 95% CI: 0.15-0.43, P0.01) and non-intensive care settings (RR=0.38, 95% CI: 0.17-0.83, P=0.01) (P-interaction: 0.39). Silicone dressings reduced the risk of developing PI among patients using five-layer foam Border dressing (Mepilex® Sacrum) (RR: 0.31, 95% CI: 0.20-0.48, P0.01), and dressing Allevyn Gentle Border® (RR: 0.10, 95% CI: 0.01-0.73, P=0.02) with no significant difference upon subgroup analysis (P-interaction: 0.27).The present meta-analysis suggests that silicone dressings consistently reduce the incidence of PI in intensive as well as in non-intensive care settings, regardless of the type of dressing used.

Published
2022

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