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Transarterial embolization for renal arterial bleeding
Ertuğrul Mavili1, Halil Dönmez, Nevzat Ozcan
1Department of Radiology, Erciyes University School of Medicine, Kayseri, Turkey. ertmavili@yahoo.com
Diagnostic and Interventional Radiology (Ankara, Turkey)
|June 12, 2009
Summary
Percutaneous transarterial embolization effectively treats renal artery bleeding from renovascular injuries. This minimally invasive technique offers a tissue-preserving approach, making it a preferred treatment option.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Nephrology
Background:
- Renovascular injuries can lead to significant renal arterial bleeding.
- Effective management of renal artery bleeding is crucial for preserving kidney function.
- Minimally invasive treatments are increasingly preferred for vascular pathologies.
Purpose of the Study:
- To evaluate the effectiveness of percutaneous transarterial embolization (PTE) for treating renal artery bleeding.
- To assess the outcomes and complications associated with PTE in patients with renovascular injury.
Main Methods:
- Retrospective review of 15 patients undergoing renal embolization for bleeding.
- Analysis of lesion characteristics, embolization success, and complications.
- Recorded technical and medical success rates, and complications.
Main Results:
- 18 bleeding lesions were identified in 15 patients.
- Successful bleeding control was achieved in 14 patients (13 in one session, 1 in two sessions).
- Complications included non-target embolization (2 patients) and iatrogenic dissection (1 patient); no major adverse events like abscess or hypertension were observed.
Conclusions:
- Percutaneous transarterial embolization is a highly effective treatment for renal artery bleeding.
- PTE is a minimally invasive and tissue-preserving option for renovascular injuries.
- Endovascular embolization should be considered the primary treatment modality.
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