Decreased hemoglobin as a quantifiable indicator of renal arterial embolization in post-percutaneous nephrolithotomy hemorrhage

Ran, Rui-Tu; Zhang, Ruiyuan; Yin, Zhang

doi:10.1007/s00240-020-01206-6

Cited by 6 publications

(3 citation statements)

References 26 publications

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“… 29 , 30 Anemia can also induce oxidative stress through endothelial damage. 31 , 32 In our study, decrease in Hb level was strongly associated with the decrease in cognitive function of patients in the CI group as compared to patients without cognitive impairment. Pearson correlation analysis in our study showed that in ischemic stroke patients, the serum APN and Hb levels were positively correlated with MOCA scores, indicating a linear relationship between serum APN and Hb levels and vascular cognitive impairment severity.…”

Section: Discussionsupporting

confidence: 54%

Predictive value of serum adiponectin and hemoglobin levels for vascular cognitive impairment in ischemic stroke patients

Li¹,

Zhu²,

Meng³

et al. 2022

Pak J Med Sci

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Objectives: To investigate the potential predictive value of serum adiponectin (APN) and hemoglobin (Hb) levels for the occurrence of vascular cognitive impairment in ischemic stroke patients. Methods: Eighty ischemic stroke patients, admitted to our hospital between June 2019 and November 2020, were retrospectively divided into no cognitive impairment (NCI) group (n=43) and cognitive impairment (CI) group (n=37) based on Montreal Cognitive Assessment (MoCA) scale scoring at three months follow-up. ELISA was used to assess serum Hb and APN levels and receiver operating characteristic (ROC) curves were created to evaluate correlation. Results: Serum APN and Hb levels were lower in the vascular cognitive impairment group compared to non-impaired counterparts. Pearson correlation analysis showed that both APN and Hb levels were positively correlated with MoCA scores. Area under curve analysis indicated predictive value for serum APN and Hb for predicting cognitive impairment in ischemic stroke patients. Conclusion: Serum APN and Hb levels in ischemic stroke patients have value for predicting vascular cognitive impairment and may be suitable for helping dictate treatment planning. doi: https://doi.org/10.12669/pjms.38.3.5204 How to cite this:Li Z, Zhu M, Meng C, Lin H, Huang L. Predictive value of serum adiponectin and hemoglobin levels for vascular cognitive impairment in ischemic stroke patients. Pak J Med Sci. 2022;38(3):705-710. doi: https://doi.org/10.12669/pjms.38.3.5204 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 54%

Predictive value of serum adiponectin and hemoglobin levels for vascular cognitive impairment in ischemic stroke patients

Li¹,

Zhu²,

Meng³

et al. 2022

Pak J Med Sci

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“…9 Major causes of severe hemorrhage are pseudoaneurysm, arteriovenous fistula, and arterial laceration. 10 Venous bleeding can be controlled using conservative measures. Although the incidence of arterial hemorrhage is low, it can easily lead to hemodynamic instability, necessitating immediate intervention.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal laparoscopic renorrhaphy for post-percutaneous nephrolithotomy hemorrhage: a case report

Lan¹,

Huang²,

Chen³

et al. 2022

J Int Med Res

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Percutaneous nephrolithotomy is the preferred treatment for large renal calculi; however, postoperative hemorrhage is a dangerous complication. The three main causes of hemorrhage after percutaneous nephrolithotomy are pseudoaneurysms, arteriovenous fistulas, and arterial lacerations. The preferred treatment for acute hemorrhage is superselective angioembolization. However, in a few cases, angiography reveals no abnormal findings pertaining to hemorrhage. We herein present a clinical case of a 48-year-old man who presented with multiple complex right renal calculi and was managed with percutaneous nephrolithotomy in the prone position. Massive hemorrhage occurred 6 days postoperatively, and renal angiography was immediately performed. However, while the bleeding was still occurring, no extravasation was observed on renal angiography. We performed retroperitoneal laparoscopic renorrhaphy, which successfully stopped the bleeding and consequently preserved the kidney. We suggest that retroperitoneal laparoscopic renorrhaphy can be effective in patients who have undergone failed renal arterial embolization or are reluctant to undergo renal arterial embolization.

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“…This hemorrhage may occur immediately after the procedure or in the form of “delayed bleeding” which may occur after a few days. 6 The majority of patients settle with conservative management. However, a small proportion of patients requires intervention in the form of angioembolization.…”

Section: Introductionmentioning

confidence: 99%

Post-percutaneous nephrolithotomy pseudo aneurysm formation treated by coil embolization; A study of seven cases

Tadayon,

Refaei,

Zarrintan

et al. 2024

J Cardiovasc Thorac Res

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Renal artery pseudoaneurysm is a rare complication of percutaneous nephrolithotomy (PCNL) with symptoms of flank pain and hematuria. Endovascular coil embolization has been proposed as a safe management option. We report Seven male patients, aged 36 to 65 years, with post-PCNL pseudoaneurysms presenting as gross hematuria. They all underwent CT angiography prior to endovascular intervention. The access was from common femoral artery in 6 cases and from left brachial artery in one case. Selective angiography of affected renal artery and branches were performed by suitable catheter. Coil embolization was performed by MicroNester and MReye coils (Cook, Inc.). Size of coils was selected based on angiography results. Completion angiography revealed embolized pseudoaneurysm in all cases. Gross and microscopic hematuria disappeared in all patients in the following days. Endovascular angioembolization with coil is an effective technique for managing post-PCNL pseudoaneurysms in renal artery and its branches.

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Decreased hemoglobin as a quantifiable indicator of renal arterial embolization in post-percutaneous nephrolithotomy hemorrhage

Cited by 6 publications

References 26 publications

Predictive value of serum adiponectin and hemoglobin levels for vascular cognitive impairment in ischemic stroke patients

Predictive value of serum adiponectin and hemoglobin levels for vascular cognitive impairment in ischemic stroke patients

Retroperitoneal laparoscopic renorrhaphy for post-percutaneous nephrolithotomy hemorrhage: a case report

Post-percutaneous nephrolithotomy pseudo aneurysm formation treated by coil embolization; A study of seven cases

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