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Control of haematuria with superselective embolization
L Vlahos1, A Gouliamos, A Kalovidouris
1Department of Radiology, University of Athens, Areteion Hospital, Greece.
Der Radiologe
|February 1, 1991
Summary
Superselective embolization effectively treats severe hematuria from benign causes like trauma and malformations. Angiography followed by embolization is the preferred diagnostic and therapeutic approach for non-malignant bleeding.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Severe hematuria necessitates effective treatment beyond malignant etiologies.
- Identifying benign causes of renal bleeding is crucial for appropriate management.
Observation:
- Fifteen patients with severe hematuria (non-malignant) were evaluated.
- Causes included iatrogenic injury, trauma, angiomatous malformations, and tuberous sclerosis.
Findings:
- Superselective embolization using steel coils was performed via arteriography.
- Twelve out of fifteen patients achieved successful treatment outcomes.
Implications:
- Angiography and superselective embolization are recommended for diagnosing and treating benign hematuria.
- This minimally invasive approach offers a high success rate for renal bleeding management.