Therapeutic renal infarction.
Pre-nephrectomy therapeutic renal infarction by injecting gelfoam into the renal artery was done in 10 patients with hypernephroma. This technique facilitates nephrectomy and decreases blood loss. A post-infarction syndrome characterized by flank pain, fever and nausea occurred in most patients. In addition, a dialysis patient underwent bilateral renal infarction with improvement of blood pressure control. Distal embolization of gelfoam occurred in this patient, resulting in significant gangrene of 1 foot.
D000230:Adenocarcinoma / Q000601:surgery / Q000628:therapy*; D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D005334:Fever / Q000209:etiology; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D006801:Humans; D006977:Hypertension, Renal / Q000628:therapy; D007668:Kidney / Q000098:blood supply* / Q000473:pathology; D007680:Kidney Neoplasms / Q000601:surgery / Q000628:therapy*; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D009392:Nephrectomy; D010146:Pain / Q000209:etiology; D012077:Renal Artery; D013577:Syndrome