Interventional management of renal bleeding after partial nephrectomy.
OBJECTIVE
Partial nephrectomy (PN) has emerged as a serious alternative to nephrectomy in oncologic therapy of renal tumours. While complications are rare in general, renal hemorrhage may occur und necessitate angiographic embolization. In this retrospective study, we evaluate the clinical, imaging and procedural findings of seven interventions in five patients with renal hemorrhage after PN. In four out of five patients (80%) the bleeding could be treated successfully by embolotherapy.


CONCLUSIONS
Angiographic embolization in patients with renal hemorrhage after PN is feasible and has a high success rate. The procedure might facilitate avoidance of nephrectomy.
Baumann
Clemens
C
Department of Diagnostic and Interventional Radiology, Klinikum Ernst von Bergmann, Charlottenstrasse 72, 14467 Potsdam, Germany. clebaumann@yahoo.com
Westphalen
Kerstin
K
Fuchs
Heiko
H
Oesterwitz
Helmut
H
Hierholzer
Johannes
J
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000601:surgery*; D004621:Embolization, Therapeutic; D005240:Feasibility Studies; D006417:Hematuria / Q000209:etiology / Q000628:therapy; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D007680:Kidney Neoplasms / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000150:complications / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D015641:Radiography, Interventional; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography