title: Hemorrhagic complications of minimally invasive urological surgeries, treated with selective endovascular embolization.
abstract: Minimally invasive urological procedures have gained in popularity and replaced open surgery in various urological procedures. Although considered minimally invasive, these procedures are not free from complications, and life-threatening hemorrhage may occur. Herein we describe 3 case series of patients who underwent minimally invasive urological surgeries that were complicated with bleeding. In all 3 patients we used super selective angiographic embolization to stop hemorrhage. Minimally invasive urological surgeries carry the risk of hemorrhage, and patients should be informed about this possibility. In hemodynnmic stable patients endovascular embolization allowed bleeding cessation with maximal preservation of the bleeding kidney tissue.
authors.affiliation: The Department of Urology and Interventional Radiology, Rambam Medical Center, Haifa, Israel. s_halachmi@rambam.health.gov.il
authors.forename: Sarel
authors.initials: S
authors.lastname: Halachmi
authors.forename: Amos
authors.initials: A
authors.lastname: Ofer
authors.forename: Eduard
authors.initials: E
authors.lastname: Gershin
authors.forename: Ahuva
authors.initials: A
authors.lastname: Engel
authors.forename: Shimon
authors.initials: S
authors.lastname: Meretyk
mesh_terms: D000368:Aged; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000009:adverse effects*