Iatrogenic renal vascular injuries and their radiological management.
Twenty-nine patients with significant haematuria after a renal invasive procedure (27 of whom had undergone a percutaneous renal procedure and 2 surgical pyelolithotomy) were investigated with angiography. Out of the 21 patients with evidence of arterial injury, 19 were treated by transarterial embolization with gelfoam with or with hydrogel particles; (n = 11), steel coils with gelfoam (n = 4), hydrogel particles (n = 1), surgicel (n = 2), silk with gelfoam (n = 1). The efficacy and technique of the therapeutic embolization procedure is emphasized.
Phadke
R V
RV
Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Sawlani
V
V
Rastogi
H
H
Kumar
S
S
Roy
S
S
Baijal
S S
SS
Babu
V R
VR
Ahlawat
R
R
Kher
V
V
Gujral
R B
RB
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy; D015901:Angiography, Digital Subtraction; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D002483:Cellulose, Oxidized / Q000627:therapeutic use; D004621:Embolization, Therapeutic; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006417:Hematuria / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D007668:Kidney / Q000601:surgery*; D011092:Polyethylene Glycols / Q000627:therapeutic use; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000293:injuries*
D002483:Cellulose, Oxidized; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D011092:Polyethylene Glycols; C013695:Surgicel