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Vol. 13, Art. 38 (pp. 475-483)    |    2012       

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Segmentary embolization of renal artery at damage in single kidney

Soroka I.V. , Ovcharenko D.V. , Melikhov E.A., Shanava G.S.

Dzanelidze Research Emergency Institute, St.-Petersburg

Brief summary

In patients with renal trauma, complicated with secondary bleeding, the optimal method of treatment is the selective embolization of bleeding segmental artery. This was verified in a 29 years old patient with severe damage of the single kidney, which has only 22 days after the injury developed hematuria is not amenable to conservative treatment. The patient performed selective angiography, during which revealed a bleeding segmental artery of the lower pole of the kidney. Bleeding vessel embolized, got а sustained hemostasis.


Key words

kidney injury, hematuria, angiography, selective embolization.

Reference list

1. Breyer B.N., McAninch J.W., Elliott S.P., Master V.A. Minimally invasive endovascular techniques to treat acute renal hemorrhage// Urology – 2008. - Vol. 179, № 6. – P. 2248-2252.


2. Chatziioannou A., Brountzos E., Primetis E., Malagari K., Sofocleous C., Mourikis D., Kelekis D. Effects of superselective embolization for renal vascular injuries on renal parenchyma and function // Eur. J. Vasc. Endovasc Surg. – 2004.- Vol. 28, № 2. – R. 201-206.


3. Hagivara A., Murata A., Matsuda H., Shimazaki S. The usefulness of transcatheter arterial embolization for patients with blunt polytrauma showing transient response to fluid resuscitation // Trauma – 2004. – Vol. 57, №2. - R. 271-276.


4. Kitase M., Mizutani M., Tomita H., Kono T., Sugie C., Shibamoto Y. Blunt renal trauma: comparison of contrast-enhanced CT and angiographic findings and the usefulness of transcatheter arterial embolization// Vasa – 2007.- Vol. 36, № 2. – R. 108-113.


5. Poulakis V., Ferakis N., Becht E., Deliveliotis C., Duex M. Treatment of renal-vascular injury by transcatheter embolization: immediate and long-term effects on renal functions// Endourol. - 2006. - Vol. 20, № 6. – R. 405-409.


6. Sofocleous C. T., Hinrichs C,Hubbi B, Brountzos E., Kaul S., Kannarkat G., Bahramipour P., Barone A., Contractor D. G., Shah T. Angiographic findings and embolotherapy in renal arterial trauma// Cardiovasc. Intervent Radiol. – 2005.- Vol. 28, № 1. – R. 39-47


7. Mohsen T., El-Assmy A., El-Diasty T. Long-term functional and morphological effects of transcatheter arterial embolization of traumatic renal vascular injury// BJU Int. – 2008.- Vol. 101, № 4. – R. 473-477.


8. Turculet C., Popa B., Palea M., Venter D., Feodor T., Dinescu G. Non-surgical management of patients with blunt abdominal injury: the role of angiography// Chirurgia (Bucur). – 2008. -Vol. 103, № 1. – R. 79-85.


9. Brewer M.E. Jr., Strnad B.T., Daley B.J., Currier R.P., Klein F.A., Mobley J.D., Kim E.D. Percutaneous embolization for the management of grade 5 renal trauma in hemodynamically unstable patients: initial experience// Urology – 2009. - Vol. 181, № 4. –R. 1737-1741.


10. Stewart A.F., Brewer M.E. Jr., Daley B.J., Klein F.A., Kim E.D. Intermediate-term follow-up of patients treated with percutaneous embolization for grade 5 blunt renal trauma// Trauma -2010.- Vol. 69, № 2. – R. 468-470.


11. Pezeshki Rad M., Ahmadnia H., Abedi M., Abedi M.S. Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney // Chin J. Traumatol. -2012. - Vol. 15, № 2.- R. 118-120.