Hemorrhagic complications after nephron-sparing surgery: angiographic diagnosis and management by transcatheter embolization.
OBJECTIVE
Nephron-sparing surgery has become an accepted treatment technique for renal cell carcinoma in properly selected patients. Although rare, major postoperative hemorrhage can occur and is usually accompanied by gross hematuria with or without acute flank pain at the site of prior surgery. In this retrospective study, the immediate radiologic and clinical success and the long-term follow-up of transcatheter embolization are evaluated.


CONCLUSIONS
Transcatheter selective embolization is a safe and effective technique for appropriate management of this postoperative vascular complication.
Heye
Sam
S
Department of Radiology, University Hospitals Gasthuisberg, Herestraat 49, Leuven B-3000, Belgium. sam.heye@uz.kuleuven.ac.be
Maleux
Geert
G
Van Poppel
Hendrik
H
Oyen
Raymond
R
Wilms
Guy
G
D000328:Adult; D000368:Aged; D000792:Angiography; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging* / Q000628:therapy*; D012189:Retrospective Studies; D014463:Ultrasonography