The clinical value of super-selective renal arterial embolization for severe renal hemorrhage
- VernacularTitle:超选择性肾动脉栓塞治疗严重肾出血的疗效评价
- Author:
Jianyuan LUO
;
Jiaping WANG
;
Yingchun LI
;
Yuyun TONG
;
Qing YANG
;
Xuegang WANG
;
Lin LI
;
Fukun CHEN
- Publication Type:Journal Article
- Keywords:
renal hemorrhage;
super-selective catheterization;
super-selective renal artery embolization
- From:
Journal of Interventional Radiology
2010;19(3):188-190
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate super-selective renal arterial embolization(SRAE)in treating severe renal hemorrhage when conservative treatment had failed. Methods SRAE was performed in 111 patients with severe renal hemorrhage who had failed to respond the conservative management.The clinical data,the way of embolization,the medication and the follow-up findings were retrospectively analyzed.Results Excellent results were obtained in all patients after SRAE and no serious complications occurred.The technical successful rate with single session was 95.5%(106/111).Gross hematuria disappeared within 1-4 days after the treatment.Two patients developed shock after renal embolization and had to receive surgery after the shock was controlled.Three patients had a recurrence of hematuria,the blood urine subsided after SRAE was employed again.A follow-up with a mean period of 37.4 months was carried out in 92 patients,and the follow-up checkups showed that the renal function was well preserved in all patients.Conclusion Super-selective renal artery catheterization and embolization is a safe and effective treatment for severe renal hemorrhage,it can maximally preserve the healthy renal parenchyma as well as the renal function.Therefore,this technique should be regarded as the treatment of first choice for patients with severe renal hemorrhage.
