The application of super-selective renal arterial embolization in acute renal hemorrhage

LI Cheng; WANG Feng; JI Dong-hua; ZHANG Tao; LIU Yong-sheng; LI Feng; WANG Ning-fang; LI Ke

Journal of China Clinic Medical Imaging ›› 2013, Vol. 24 ›› Issue (10) : 712-714.

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The application of super-selective renal arterial embolization in acute renal hemorrhage

LI Cheng, WANG Feng, JI Dong-hua, ZHANG Tao, LIU Yong-sheng, LI Feng, WANG Ning-fang, LI Ke

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Abstract

Objective:　To evaluate the clinical value of super-selective arterial embolization in treating acute renal hemorrhage. Methods: All cases underwent angiographic examination and the diagnosis was confirmed. Super-selective embolization was performed in 15 patients with acute renal hemorrhage by renal artery injury(n=5), iatrogenic renal artery injury(n=3), and renal arterioveous malformation(n=7). Average follow-up period was 12 months(range 6～18 months). The therapeutic effect, complication and bleeding recurrence of super-selective embolization in the treatment of acute renal hemorrhage were evaluated. Results: The super-selective arterial embolization was successfully accomplished in all the 15 patients. Immediate hemostasis was achieved in 14 patients after super-selective embolization. One patient had a kidney excision because of a recurrent postoperative hemorrhage. During the clinical follow-up period, no severe complication or recurrent hemorrhage was observed. Conclusion: Super-selective renal artery embolization is a safe and effective treatment with few complications for acute kidney bleeding.

Key words

Kidney diseases / Hemorrhage / Embolization / therapeutic

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LI Cheng;WANG Feng;JI Dong-hua;ZHANG Tao;LIU Yong-sheng;LI Feng;WANG Ning-fang;LI Ke. The application of super-selective renal arterial embolization in acute renal hemorrhage[J]. Journal of China Clinic Medical Imaging. 2013, 24(10): 712-714