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

Dimensions.ai Metrics
4 citations in Web of Science®
7 citations in Scopus®
5 citations in Microsoft Academic
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:21 Feb 2018 09:30
Publisher:Bohn Stafleu van Loghum
ISSN:0167-2487
OA Status:Closed
PubMed ID:2660012

Download

Full text not available from this repository.
Get full-text in a library