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[Persistent renal bleeding treated with selective vascular embolisation with preservation of renal function]
R Lazarov1, G A P de Kort, R J A van Moorselaar
1Afd. Urologie, Universitair Medisch Centrum, Heidelberglaan 100, 3584 CX Utrecht. r.j.a.vanmoorselaar@chir.azu.nl
Nederlands Tijdschrift Voor Geneeskunde
|June 13, 2002
Summary
Selective embolisation effectively treated persistent renal bleeding in three patients, preserving kidney function. This minimally invasive procedure offers a viable alternative when conservative methods fail for vascular abnormalities.
Area of Science:
- Urology
- Interventional Radiology
- Nephrology
Background:
- Persistent renal bleeding poses a significant clinical challenge, often requiring intervention.
- Conservative treatments may be insufficient for managing complex renal vascular issues.
- Preservation of renal function is paramount in managing patients with kidney bleeding.
Observation:
- Three patients presented with persistent haematuria due to various renal vascular conditions.
- Conditions included post-nephrolithotripsy bleeding, arteriovenous malformation, and angiomyolipoma with haematoma.
- Conservative measures failed to resolve bleeding in all cases.
Findings:
- Selective embolisation successfully occluded bleeding vessels in all three patients.
- Techniques included coil embolisation, detachable balloons, and Gianturco coils.
- No recurrence of bleeding was observed during follow-up periods ranging from 2 to 2.5 years.
Implications:
- Selective embolisation is a minimally invasive and effective treatment for persistent renal bleeding.
- This interventional technique preserves renal function, offering a significant advantage over nephrectomy.
- Embolisation should be considered when conservative management of renal vascular bleeding fails.