ORIGINAL ARTICLES   

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

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

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.