Effects of superselective embolization for renal vascular injuries on renal parenchyma and function

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
A ChatziioannouD Kelekis

Abstract

Our objective was to evaluate the outcome of superselective embolization used for treatment of renal vascular injuries on renal parenchyma and renal function. Between January 1999 and December 2001, 6 consecutive patients (five males, one female, mean age 45 years) underwent embolization to treat bleeding from renal vascular injuries, resulting from iatrogenic interventions (4) and blunt abdominal trauma (2). Five patients had increased serum creatinine. Angiography depicted a pseudoaneurysm (PA) in three, PA with arteriovenous fistula (AVF) in one, and active extravasation in two patients. Superselective catheterization was achieved using a 5-F catheter in three, and coaxial microcatheter in the remaining three cases. All lesions were successfully embolized with 0.035" or 0.018" coils. Bleeding was ceased in all patients and did not recur. Mean post-embolization parenchymal ischemic area was 11.7% (range: 0-30%). Imaging follow-up (mean: 12 months, range: 5-23) showed that mean parenchymal infarcted area was 6% (range: 0-15%). Serum creatinine level was normal in all patients one week after the procedure and at the latest follow-up. Superselective embolization resulted in permanent cessation of bleeding. Serious parenchymal in...Continue Reading

References

Oct 1, 1975·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·V P ChuangJ J Bookstein
Apr 1, 1991·Clinical Radiology·P Corr, G Hacking
Jun 1, 1989·AJR. American Journal of Roentgenology·R G FisherC Whigham
Jan 1, 1995·The Journal of Urology·R BeaujeuxP Bourjat
Nov 1, 1993·Cardiovascular and Interventional Radiology·P E HuppertC D Claussen
Feb 1, 1997·Clinical Radiology·R V PhadkeR B Gujral
Apr 16, 1998·Cardiovascular and Interventional Radiology·R DorffnerJ Lammer
Aug 26, 1998·The British Journal of Surgery·G C VelmahosT V Berne
Dec 5, 1998·Journal of Vascular and Interventional Radiology : JVIR·S PeriniE J Ring
Feb 18, 1999·The Journal of Urology·N A ArmenakasJ W McAninch
Oct 21, 1999·The Journal of Trauma·S B Brandes, J W McAninch
Jan 13, 2000·European Journal of Radiology·D MourikisL Vlahos

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Citations

Sep 1, 2008·Seminars in Interventional Radiology·Peter G Stratil, Thomas R Burdick
May 29, 2009·Journal of Endourology·Mostafa A SakrSherif E Hegab
Jun 22, 2012·European Urology·Duncan J SummertonUNKNOWN European Association of Urology
Dec 8, 2015·The British Journal of Radiology·Anna Maria IerardiGianpaolo Carrafiello
Aug 31, 2010·Journal of Vascular and Interventional Radiology : JVIR·Anand Dorai Raju, Mehul Doshi
Apr 22, 2008·The Journal of Urology·Benjamin N BreyerViraj A Master
Jul 3, 2007·Radiologic Clinics of North America·Young Joon LeeJae Young Byun
Apr 21, 2007·Urology·Michele GallucciCostantino Leonardo
Feb 21, 2006·The Urologic Clinics of North America·Hosam S Al-Qudah, Richard A Santucci
Dec 27, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Glenn A Ladinsky, Simin Goral
Apr 7, 2010·BJU International·Johannes HuberMarkus Hohenfellner
Aug 4, 2009·Urology·Edan Y ShapiroReza Ghavamian
Nov 16, 2005·Urology·Jonathan L Wright, James R Porter
May 28, 2010·AJR. American Journal of Roentgenology·Sidney RegaladoBrian Funaki
Nov 10, 2016·Romanian Journal of Internal Medicine = Revue Roumaine De Médecine Interne·Mohammad Parsa MahjoobMohammadreza Naderian
Feb 22, 2017·Journal of the Chinese Medical Association : JCMA·Zhi-Qiang CaoYaling Han
Oct 10, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jaya Sai S ChavaliJihad H Kaouk
Mar 14, 2019·The Journal of Trauma and Acute Care Surgery·Sorena KeihaniUNKNOWN in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·Wei-Ching LinYung-Jen Ho
Jan 14, 2020·Vascular and Endovascular Surgery·Thomas JardinetGeert Maleux
May 28, 2019·The Journal of Trauma and Acute Care Surgery·Sorena KeihaniUNKNOWN in conjunction with the Trauma and Urologic Reconstruction Network of Surgeons
Nov 18, 2020·Journal of the Belgian Society of Radiology·Hyoung Nam LeeNam Hun Heo
Jul 9, 2008·Scandinavian Journal of Urology and Nephrology·Haakon LindekleivJan Due

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