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Selective arterial embolization of life-threatening renal hemorrhage in four patients after partial nephrectomy
- Source :
- Diagnostic and Interventional Imaging. 95:601-609
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- Purpose Partial nephrectomy (PN) is an accepted alternative to radical nephrectomy for nephron sparing surgery to treat renal tumors. Although complications are relatively rare after PN, they may include renal hemorrhage that can be massive and life threatening. Artery embolization can have a major role in the management of these cases and to avoid radical nephrectomy. Materials and methods We report four consecutive patients with massive hemorrhage after PN, treated by arterial embolization and review the literature to discuss the clinical presentation, imaging evaluation and clinical outcome. All patients developed arteriovenous fistula and one a pseudoaneurysm. Results After selective catheterization and identification of the bleeding site, we used microcoils as embolization material. Immediate technical and clinical success was achieved in all cases. Conclusion Superselective artery embolization of renal hemorrhage is a simple, safe and efficient procedure. It has a high clinical success and should be considered as an alternative to nephrectomy, minimizing the morbidity and preserving renal tissue.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Renal Hemorrhage
Arteriovenous fistula
Hemorrhage
Postoperative Hemorrhage
Nephrectomy
Embolotherapy
Pseudoaneurysm
Renal Artery
medicine
Humans
Radiology, Nuclear Medicine and imaging
Urogenital interventions
Aged
Retrospective Studies
Aged, 80 and over
Radiological and Ultrasound Technology
business.industry
Arterial Embolization
Embolisation
Renal tissue
Kidney/renal
General Medicine
Middle Aged
medicine.disease
Embolization, Therapeutic
Surgery
Embolization material
Female
Kidney Diseases
Radiology
Nephron sparing surgery
business
Subjects
Details
- ISSN :
- 22115684
- Volume :
- 95
- Database :
- OpenAIRE
- Journal :
- Diagnostic and Interventional Imaging
- Accession number :
- edsair.doi.dedup.....fd8af802c41b983576723611677caf35