Header

UZH-Logo

Maintenance Infos

Selective embolization in the treatment of severe blunt renal injury


De Bock, L; Verhagen, P F (1989). Selective embolization in the treatment of severe blunt renal injury. Netherlands Journal of Surgery, 41(2):31-4.

Abstract

About 10-15 percent of all blunt abdominal trauma is associated with blunt renal injury; 85 percent of these renal injuries are minor contusions and can successfully be treated conservatively. Injuries of the pedicle account for 5 percent and require surgical intervention. Serious lacerations and disruptions of renal parenchyma associated with bleeding, account for the remaining 10 percent. The treatment of these major injuries is more difficult and controversial. Surgical treatment is associated with few complications, but nephrectomies are indicated in 15 to 60 percent of cases. A conservative approach is associated with many early and late complications (up to 60 percent) and in 13 to 68 percent surgery is still necessary. Selective embolization of one or more bleeding segmental renal arteries is an attractive alternative. The advantages are evident. The chance that the bleeding can be successfully stopped is high (more than 90 percent). The treatment is relatively easy and can be repeated, as much as possible renal parenchyma can be saved and arteriovenous fistula can also be treated. Early complications are minor and rare and late complications e.g. hypertension, are also very rare. Two patients are presented who were successfully treated with selective embolization for severe renal bleeding after blunt trauma.

Abstract

About 10-15 percent of all blunt abdominal trauma is associated with blunt renal injury; 85 percent of these renal injuries are minor contusions and can successfully be treated conservatively. Injuries of the pedicle account for 5 percent and require surgical intervention. Serious lacerations and disruptions of renal parenchyma associated with bleeding, account for the remaining 10 percent. The treatment of these major injuries is more difficult and controversial. Surgical treatment is associated with few complications, but nephrectomies are indicated in 15 to 60 percent of cases. A conservative approach is associated with many early and late complications (up to 60 percent) and in 13 to 68 percent surgery is still necessary. Selective embolization of one or more bleeding segmental renal arteries is an attractive alternative. The advantages are evident. The chance that the bleeding can be successfully stopped is high (more than 90 percent). The treatment is relatively easy and can be repeated, as much as possible renal parenchyma can be saved and arteriovenous fistula can also be treated. Early complications are minor and rare and late complications e.g. hypertension, are also very rare. Two patients are presented who were successfully treated with selective embolization for severe renal bleeding after blunt trauma.

Statistics

Citations

3 citations in Web of Science®
6 citations in Scopus®
Google Scholar™

Altmetrics

Additional indexing

Item Type:Journal Article, not refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
Dewey Decimal Classification:610 Medicine & health
Date:April 1989
Deposited On:28 Dec 2015 10:52
Last Modified:05 Apr 2016 19:47
Publisher:Bohn Stafleu van Loghum
ISSN:0167-2487
PubMed ID:2660012

Download

Full text not available from this repository.

TrendTerms

TrendTerms displays relevant terms of the abstract of this publication and related documents on a map. The terms and their relations were extracted from ZORA using word statistics. Their timelines are taken from ZORA as well. The bubble size of a term is proportional to the number of documents where the term occurs. Red, orange, yellow and green colors are used for terms that occur in the current document; red indicates high interlinkedness of a term with other terms, orange, yellow and green decreasing interlinkedness. Blue is used for terms that have a relation with the terms in this document, but occur in other documents.
You can navigate and zoom the map. Mouse-hovering a term displays its timeline, clicking it yields the associated documents.

Author Collaborations