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ULTIMO FASCICOLOINTERNATIONAL ANGIOLOGY

Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Periodicità: Bimestrale

ISSN 0392-9590

Online ISSN 1827-1839

 

International Angiology 1998 Marzo;17(1):58-61

 ORIGINAL ARTICLES

Hyperselective renal ­artery embol­isa­tion in the treat­ment of post-trau­mat­ic iat­ro­gen­ic hae­ma­tu­ria: ­report of two cases

Tzortzis G., Kolomodi D., Stathopoulou S., Kostakis A. *, Michail S. **, Pappas P., Revenas K.

From the Department of Radiology, * Unit of Transplantation and ** Department of Nephrology, Laikon General Hospital of Athens, Athens, Greece

Angiography and selec­tive renal ­artery embol­isa­tion were per­formed in two ­patients with post-trau­mat­ic iat­ro­gen­ic kid­ney ­lesions and intract­able hae­ma­tu­ria. One ­patient pre­sent­ed after a neph­rol­i­thot­o­my with rup­ture of a seg­men­tal ­branch of the renal ­artery well dem­on­strat­ed on selec­tive angio­gra­phy which ­showed intra­pa­ren­chy­mal extra­va­sion of con­trast medi­um. The other pre­sent­ed after a renal biop­sy with ­severe hae­ma­tu­ria. Angiography per­formed 10 days later dem­on­strat­ed an arter­i­ov­e­nous fis­tu­la at the site of the punc­ture. Hyperselective embol­isa­tion ­achieved imme­di­ate con­trol of the hae­ma­tu­ria in both ­patients, with maximal pres­er­va­tion of the renal paren­chy­ma and main­te­nance of good renal func­tion. At fol­low-up 12 ­months later, there had been no recur­rence of the hae­ma­tu­ria. These ­results sug­gest that trans­cath­et­er embol­isa­tion ­should be con­sid­ered the meth­od of first ­choice in renal trau­ma accom­pa­nied by intract­able hae­ma­tu­ria ­before any sur­gery is attempt­ed.

lingua: Inglese


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