Management of Non-neoplastic Renal Hemorrhage by Transarterial Embolization

Jain, Vikas; Ganpule, Arvind; Vyas, Jigish; Muthu, Veeramani; Sabnis, Ravindra; Rajapurkar, Mohan; Desai, Mahesh

doi:10.1016/j.urology.2008.11.062

Cited by 53 publications

(48 citation statements)

References 19 publications

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“…It is a safe and effective method, which has become the primary choice for the treatment of acute renal hemorrhage. [14,15] After analysis of 3 patients in this group, it was found that, 2 cases of patients underwent LPN, 1-0 absorbable sutures were used to suture the wound in a shape of "8" by directly penetrating the renal parenchyma. Renal artery or vein branches in the section were probably not ligatured or only ligatured partially, resulting in postoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

Analysis and treatment of delayed hemorrhage after partial nephrectomy

Zhao¹,

Liu²,

Yue³

et al. 2018

DCC

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Objective: To explore the causes of delayed hemorrhage after partial nephrectomy and its prevention and treatment methods. Methods: Clinical data for 64 cases of patients who received partial nephrectomy from August of 2010 to December of 2015 were retrospectively analyzed; whereas, 3 cases of patients (4.7%) had delayed hemorrhage, including 1 case of male patient and 2 cases of female patients. Then, compared them with patients with no hemorrhage to explore the risk factors for hemorrhage after partial nephrectomy. Results: Three cases of patients showed a large volume of gross hematuria in 7-22 days (the average was 16.3 days) after partial nephrectomy, with blood pressure and hemoglobin (HGB) decreased. 2 cases of patients with hemorrhage were given blood transfusion and conservative treatment, and patients' conditions were improved obviously. The other patient was given superselective renal artery embolization (SRAE), with renal arteriography indicating the presence of pseudoaneurysm. Hematuria disappeared after surgery. In comparison with the non-hemorrhage group, warm ischemia time was longer in the hemorrhage group, and the difference was of statistical significance (p < .05). Conclusions: Hemorrhage occurred after partial nephrectomy is mostly delayed. Once the type of complications happens, it is required to provide a timely treatment. Super-selective renal artery embolization (SRAE) is a safe and effective treatment method for hemorrhage after partial nephrectomy.

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Section: Discussionmentioning

confidence: 99%

Analysis and treatment of delayed hemorrhage after partial nephrectomy

Zhao¹,

Liu²,

Yue³

et al. 2018

DCC

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“…Endovascular techniques are increasingly the preferred approach, regardless of aetiology, given their minimally invasive nature, shorter recovery period and ability to preserve renal parenchyma function. (7,8) The precise endovascular treatment, whether it is embolisation with coils, liquid embolics or stent graft exclusion, varies according to the anatomical characteristics of the aneurysm and operator experience. In any case, the primary aim is to occlude or exclude fl ow to the pseudoaneurysm while maintaining maximal perfusion to the remaining renal parenchyma.…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (178)

Chung

Chawla

Peh

2017

smedj

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A 64-year-old woman with end-stage renal failure secondary to diabetic nephropathy was referred to the emergency department from the dialysis unit following intradialytic hypotension and giddiness. On further questioning, she described a four-day history of dull, non-radiating left fl ank pain. There was no history of trauma or iatrogenic injury such as renal biopsy.On examination, the patient had a palpable left fl ank mass. Admission laboratory serum tests revealed profound anaemia:

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“…This should be followed by CT study which can further clarify any abnormal ultrasound finding. Active bleeding can be identified with the use of contrast enhancement and further actions can be decided according to the severity [9]. However, false-negative results can be obtained if the bleeding is less than 0.5 mL/min [10].…”

Section: Discussionmentioning

confidence: 99%

Successful Management of a Rare Complication After Percutaneous Native Renal Biopsy

et al. 2015

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Percutaneous renal biopsy is presumed to be a relatively safe procedure that is routinely performed to help in the diagnosis, prognosis and treatment of various renal parenchymal diseases. It is widely performed by interventional nephrologists and radiologists for certain indications. Here, we report a young man who developed a significant retroperitoneal hematoma and active bleeding due to left 12th intercostal artery injury after a native renal biopsy, with a concomitant renal segmental artery pseudoaneurysm. The bleeding was successfully treated by selective transcatheter arterial embolization with coils.

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Management of Non-neoplastic Renal Hemorrhage by Transarterial Embolization

Cited by 53 publications

References 19 publications

Analysis and treatment of delayed hemorrhage after partial nephrectomy

Analysis and treatment of delayed hemorrhage after partial nephrectomy

Clinics in diagnostic imaging (178)

Successful Management of a Rare Complication After Percutaneous Native Renal Biopsy

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