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Renal artery embolization for benign obstructive uropathy.

H Toussi1, C McConnell, V Srinivasan

  • 1Department of Urology, Glan Clwyd Hospital, Bodelwyddan, Denbighshire, United Kingdom.

The Journal of Urology
|March 21, 2001
PubMed
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Renal artery embolization offers a safe alternative to nephrectomy for patients with obstructed, poorly functioning kidneys who cannot undergo surgery. This procedure effectively resolves symptoms and stops urine production in the affected kidney.

Area of Science:

  • Interventional Radiology
  • Nephrology
  • Urology

Background:

  • Symptomatic patients with obstructed, poorly functioning kidneys often require intervention.
  • Nephrectomy is a surgical option but carries risks, especially for medically unfit individuals.
  • Renal artery embolization presents a less invasive alternative.

Purpose of the Study:

  • To demonstrate the safety and efficacy of renal artery embolization.
  • To evaluate this procedure as an alternative to nephrectomy in specific patient populations.
  • To manage symptomatic, poorly functioning kidneys in surgically unfit patients.

Main Methods:

  • Renal artery embolization was performed in two medically unfit patients.
  • Initial management included antegrade drainage via a nephrostomy tube.

Related Experiment Videos

  • Selective embolization utilized absorbable gelatin sponge particles and Gianturco coils.

    • Main Results:

    • Urine production from the affected kidney ceased post-embolization.
    • Patient symptoms were resolved.
    • Nephrostomy tubes were removed prior to hospital discharge.

    Conclusions:

    • Renal artery embolization with antegrade drainage is a safe alternative to surgery.
    • This approach is suitable for unfit symptomatic patients with benign obstructive uropathy and poorly functioning kidneys.