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Angiographic management of percutaneous renal procedure-related bleeding: A single-center experience

Min Jeong Choi1, Pyeong Hwa Kim2, Ji Hoon Shin2

  • 1Department of Radiology, Dankook University Hospital, Cheonan, Korea.

International Journal of Urology : Official Journal of the Japanese Urological Association
|December 22, 2018
PubMed

Insights

Transcatheter arterial embolization effectively treats bleeding after kidney procedures. This safe method preserves kidney function, with high success rates and minimal complications.

Area of Science:

  • Interventional Radiology
  • Nephrology
  • Urology

Background:

  • Percutaneous renal procedures can lead to significant bleeding.
  • Timely intervention is crucial for managing post-procedural hemorrhage.

Purpose of the Study:

  • To evaluate the radiological and clinical outcomes of transcatheter arterial embolization (TAE) for active bleeding post-percutaneous renal procedures.
  • To assess the safety and efficacy of TAE in preserving renal function.

Main Methods:

  • Retrospective analysis of 79 patients undergoing angiography for percutaneous renal procedure-related bleeding.
  • TAE performed for identified bleeding foci or empirically.
  • Analysis of technical and clinical success rates, complications, and renal function (eGFR).

Main Results:

  • Angiography revealed bleeding in 81% of patients; all underwent TAE.
  • Technical success rate was 100% for identified bleeding.
  • Clinical success rate was 85.7%, with repeat TAE achieving recovery in all failures.
  • No significant difference in eGFR post-TAE; no major complications reported.

Conclusions:

  • Transcatheter arterial embolization is a safe and effective treatment for percutaneous renal procedure-related bleeding.
  • TAE does not lead to renal function deterioration.
Abstract

Keywords:
biopsyhemorrhagekidneypercutaneous nephrolithotomytherapeutic embolization

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