Treatment of Renal-Vascular Injury by Transcatheter Embolization: Immediate and Long-Term Effects on Renal Function
- 1 June 2006
- journal article
- Published by Mary Ann Liebert Inc in Journal of Endourology
- Vol. 20 (6), 405-409
- https://doi.org/10.1089/end.2006.20.405
Abstract
To evaluate the impact of superselective embolization for treatment of renal-vascular injuries on renal function.Between 1995 and 2004, four male patients and one female patient with a mean age of 45.4 years underwent embolization to control bleeding from renal-vascular injuries resulting from iatrogenic interventions (N = 4) or blunt abdominal trauma (N = 1). Angiography depicted a pseudoaneurysm in all patients, together with an arteriovenous fistula in one. Superselective embolization was achieved with 0.035- or 0.018-inch coils combined with a mixture of Histoacryl and Lipiodol in one patient.Bleeding was controlled in all patients and did not recur. No complications occurred after the procedure. Hematuria ceased within 3 days. The serum creatinine concentration returned to pre-injury values within 10 days. Embolization caused an immediate parenchymal ischemic area of 0 to 20% (mean 9%). The contrast-enhanced CT scan 6 months after the procedure revealed a parenchymal perfusion deficit of 0 to 10% (mean 5%).Superselective embolization resulted in permanent cessation of bleeding. Renal function was preserved in all the patients, and serum creatinine concentrations returned to the pre-injury values. Transcatheter embolization should be considered the treatment of choice in the management of renal-vascular injuries.Keywords
This publication has 21 references indexed in Scilit:
- Effects of Superselective Embolization for Renal Vascular Injuries on Renal Parenchyma and FunctionEuropean Journal of Vascular and Endovascular Surgery, 2004
- INDICATIONS FOR NONOPERATIVE MANAGEMENT OF RENAL STAB WOUNDSJournal of Urology, 1999
- Management of Hemorrhage after Percutaneous Renal SurgeryJournal of Endourology, 1998
- Selective management of renal gunshot woundsBritish Journal of Surgery, 1998
- Partial NephrectomyJournal of Urology, 1995
- Superselective Endo-Vascular Treatment of Renal Vascular LesionsJournal of Urology, 1995
- The current status of embolization in renal cell carcinoma — A survey of local and national practiceClinical Radiology, 1992
- Embolization in traumatic intrarenal vascular injuriesClinical Radiology, 1991
- Stab wounds of the renal artery branches: angiographic diagnosis and treatment by embolizationAmerican Journal of Roentgenology, 1989
- Vascular Complications of Percutaneous Renal SurgeryJournal of Endourology, 1987