Related Experiment Video
Updated: Sep 4, 2025
14:58
Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
9.8K
Bilateral traumatic renal artery dissection managed by endovascular therapy
Quentin Vandebeek1, Denis Henroteaux2, Francois Pitance3
1Emergency, CHR Citadelle, Liege, Belgium vandebeekquentin@gmail.com.
BMJ Case Reports
|July 14, 2022
Summary
Post-traumatic bilateral renal artery injury can be effectively treated with endovascular procedures. This minimally invasive approach preserves kidney function, avoiding long-term dialysis.
Area of Science:
- Nephrology
- Vascular Surgery
- Trauma Surgery
Background:
- Traumatic injuries can lead to severe damage to the renal arteries.
- Bilateral renal artery injury presents a significant challenge in preserving renal function.
- Renal perfusion disorders can result from vascular compromise.
Observation:
- A case of post-traumatic bilateral renal artery injury with associated renal perfusion disorder was observed.
- The patient presented with complex vascular damage requiring immediate intervention.
Findings:
- Successful endovascular treatment was achieved for the bilateral renal artery lesions.
- The endovascular approach effectively restored renal perfusion.
- Sufficient renal function was maintained post-treatment.
Implications:
- Endovascular treatment is a feasible and efficient option for severe post-traumatic renal artery lesions.
- This therapeutic strategy can prevent the need for long-term dialysis in affected patients.
- Preservation of renal function through endovascular means is a critical outcome in trauma care.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
20
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
20
01:26Aneurysm III: Interprofessional Care
22
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
22
01:30Continuous Renal Replacement Therapy
112
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
112
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
40
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
40
01:19Imaging Studies VII: Vascular Imaging
52
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
52
01:22Aneurysm IV: Nursing Management
18
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
18