Transarterial embolization in management of post-traumatic hematuria

Introduction: Iatrogenic injuries are the most common (>50%) cause of renal vascular lesions and most of these vascular lesions resolve spontaneously, however, surgical or percutaneous treatment is recommended when there is massive bleeding, renal hemorrhage persisting for more than 72 hours, or...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Dinesh Chataut, Sundar Suwal, Ajit Thapa, Ranjit Chaudh, Ram Kumar Ghimire
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2019
Materias:	Transarterial embolization Hematuria Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0b2199ab435c4dc1a442e760ca76355a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0b2199ab435c4dc1a442e760ca76355a
record_format	dspace
spelling	oai:doaj.org-article:0b2199ab435c4dc1a442e760ca76355a2021-12-05T19:15:49ZTransarterial embolization in management of post-traumatic hematuria10.3126/jssn.v22i2.287381815-39842392-4772https://doaj.org/article/0b2199ab435c4dc1a442e760ca76355a2019-12-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/28738https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Iatrogenic injuries are the most common (>50%) cause of renal vascular lesions and most of these vascular lesions resolve spontaneously, however, surgical or percutaneous treatment is recommended when there is massive bleeding, renal hemorrhage persisting for more than 72 hours, or progressively deteriorating renal functions. Renal artery embolization is considered safe, effective as well as less invasive as the alternative treatment method is emergent nephrectomy or clamping of the renal artery which results in the loss of the kidney. We conducted a study to describe the efficacy of transarterial embolization in the management of post-traumatic hematuria. Methods: Retrospective review of 30 patients from April 2013 to July 2017 who underwent transarterial embolization for renal vascular lesions following blunt and iatrogenic renal injuries was done. Type of renal vascular lesions, the angiographic status of visualized vascular lesions immediately following embolization, and post-procedural status of hematuria were evaluated. Results: Thirty patients with a mean age of 35.3 years were included in the study. Twenty-two patients with pseudoaneurysm and eight with arteriovenous fistula in the kidney underwent transarterial embolization. Selective embolization was done in 28 out of 30 patients with complete resolution of hematuria. Two patients underwent non-selective embolization of the main renal artery which was necessary for control of hematuria. Conclusions: Transarterial embolization is a highly effective technique in the management of traumatic renal vascular lesions presenting with left threatening or continuous hematuria. Dinesh ChatautSundar SuwalAjit ThapaRanjit ChaudhRam Kumar GhimireSociety of Surgeons of NepalarticleTransarterial embolizationHematuriaSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 22, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Transarterial embolization Hematuria Surgery RD1-811
spellingShingle	Transarterial embolization Hematuria Surgery RD1-811 Dinesh Chataut Sundar Suwal Ajit Thapa Ranjit Chaudh Ram Kumar Ghimire Transarterial embolization in management of post-traumatic hematuria
description	Introduction: Iatrogenic injuries are the most common (>50%) cause of renal vascular lesions and most of these vascular lesions resolve spontaneously, however, surgical or percutaneous treatment is recommended when there is massive bleeding, renal hemorrhage persisting for more than 72 hours, or progressively deteriorating renal functions. Renal artery embolization is considered safe, effective as well as less invasive as the alternative treatment method is emergent nephrectomy or clamping of the renal artery which results in the loss of the kidney. We conducted a study to describe the efficacy of transarterial embolization in the management of post-traumatic hematuria. Methods: Retrospective review of 30 patients from April 2013 to July 2017 who underwent transarterial embolization for renal vascular lesions following blunt and iatrogenic renal injuries was done. Type of renal vascular lesions, the angiographic status of visualized vascular lesions immediately following embolization, and post-procedural status of hematuria were evaluated. Results: Thirty patients with a mean age of 35.3 years were included in the study. Twenty-two patients with pseudoaneurysm and eight with arteriovenous fistula in the kidney underwent transarterial embolization. Selective embolization was done in 28 out of 30 patients with complete resolution of hematuria. Two patients underwent non-selective embolization of the main renal artery which was necessary for control of hematuria. Conclusions: Transarterial embolization is a highly effective technique in the management of traumatic renal vascular lesions presenting with left threatening or continuous hematuria.
format	article
author	Dinesh Chataut Sundar Suwal Ajit Thapa Ranjit Chaudh Ram Kumar Ghimire
author_facet	Dinesh Chataut Sundar Suwal Ajit Thapa Ranjit Chaudh Ram Kumar Ghimire
author_sort	Dinesh Chataut
title	Transarterial embolization in management of post-traumatic hematuria
title_short	Transarterial embolization in management of post-traumatic hematuria
title_full	Transarterial embolization in management of post-traumatic hematuria
title_fullStr	Transarterial embolization in management of post-traumatic hematuria
title_full_unstemmed	Transarterial embolization in management of post-traumatic hematuria
title_sort	transarterial embolization in management of post-traumatic hematuria
publisher	Society of Surgeons of Nepal
publishDate	2019
url	https://doaj.org/article/0b2199ab435c4dc1a442e760ca76355a
work_keys_str_mv	AT dineshchataut transarterialembolizationinmanagementofposttraumatichematuria AT sundarsuwal transarterialembolizationinmanagementofposttraumatichematuria AT ajitthapa transarterialembolizationinmanagementofposttraumatichematuria AT ranjitchaudh transarterialembolizationinmanagementofposttraumatichematuria AT ramkumarghimire transarterialembolizationinmanagementofposttraumatichematuria
_version_	1718371044308287488

Transarterial embolization in management of post-traumatic hematuria

Ejemplares similares