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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

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Selective transarterial embolization for posttraumatic renal hemorrhage: a second try is worthwhile.

Johannes Huber¹, Sascha Pahernik, Peter Hallscheidt

¹Department of Urology, University of Heidelberg, Heidelberg, Germany. johannes.huber@med.uni-heidelberg.de

The Journal of Urology

|March 23, 2011

Summary

This summary is machine-generated.

Transarterial embolization (TAE) is effective for posttraumatic renal hemorrhage. Repeat TAE procedures offer a high success rate, justifying re-intervention when clinically indicated to avoid nephrectomy.

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Area of Science:

Urology
Interventional Radiology

Background:

Posttraumatic renal hemorrhage requires effective management to prevent nephrectomy.
Selective percutaneous transarterial embolization (TAE) is a primary treatment option.

Purpose of the Study:

To evaluate the clinical success rate of TAE for posttraumatic renal hemorrhage.
To determine the efficacy of repeat TAE interventions.

Main Methods:

Retrospective analysis of 21 patients with posttraumatic renal bleeding.
Inclusion criteria: imaging evidence, clinical signs of hemorrhage, or hemoglobin decrease >2 gm/dl.
Exclusion criteria: spontaneous bleeding.

Main Results:

TAE achieved primary clinical success in 63% of patients (12/19).
Repeat TAE was successful in 67% of cases (4/6) where initial treatment failed.
Nephrectomy was required in 16% of patients (3/21).

Conclusions:

TAE is a viable option when conservative measures fail for renal hemorrhage.
Repeat TAE interventions are justified due to comparable success rates.
Maximizing TAE success can reduce the need for nephrectomy.