The Assessment of the Risk of Acute Kidney Injury in Patients Undergoing an Urgent Endovascular Treatment Due to Severe Renal Bleeding

Piasecki, Piotr; Ząbkowski, Tomasz; Brzozowski, Krzysztof; Narloch, Jerzy; Zięcina, Piotr; Dziuk, Mirosław; Tkaczewski, Konrad; Zieliński, Henryk

doi:10.1007/s00270-017-1800-4

Cited by 7 publications

(4 citation statements)

References 27 publications

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“…(24). There are also studies that have emphasized that in patients where there are concerns of acute renal failure, the chance of endovascular treatment should not be delayed (24). In the current study, although there was a slight increase in the creatinine values after the procedure compared to before (from 0.93 to 0.97), no significant difference was observed in the eGFR measurements, which are an important marker of kidney function.…”

Section: E a R L Y A C C E S Scontrasting

confidence: 54%

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Akut Renal Arter Kanamalarında Endovasküler Tedavi: Etkinliği ve Böbrek Fonksiyonlarına Etkisi

Kayali

Görür

2022

Düzce Tıp Fakültesi Dergisi

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Aim: The aim of this study was to investigate the efficacy and complications of endovascular treatment of acute renal artery hemorrhage and the etiology of the condition. Material and Methods: Twenty-two patients who underwent endovascular embolization with renal acute artery hemorrhage between 2016 and 2020 were evaluated retrospectively. Etiologies of the acute renal artery hemorrhage were investigated. Laboratory and clinical follow-up information were analyzed for the efficacy and the complication of the treatment. The serum creatinine levels of the patients before and after the procedure were compared. Results: Selective renal artery embolization procedures were performed in a total of 22 patients. Of the 22 patients, 10 (45.5%) were male and 12 (54.5%) were female. The patients' ages ranged from 5 to 79 years, and the mean age of the patients was 51.5±18.6 years. Clinical success was achieved in 91.7% of embolization procedures. A statistically significant increase was seen in the serum creatinine levels of the patients after the procedure compared to 24 hours before the angiography procedure (median: 0.97 vs. 0.93, p=0.046). No significant change was observed in serum blood urea nitrogen and the estimated glomerular filtration rate levels (p=0.338, and p=0.067, respectively). Acute renal failure and postembolization syndrome were observed in only one patient as complications. The complication rate was found to be 4.5%. Conclusion: Selective embolization of the renal artery has high clinical success in acute renal artery hemorrhages without impairing renal function. The treatment has advantages such as no need for general anesthesia, and low complication rates.

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Section: E a R L Y A C C E S Scontrasting

confidence: 54%

“…Renal dysfunction does not occur when 34% of the total embolized area is exceeded. (24). There are also studies that have emphasized that in patients where there are concerns of acute renal failure, the chance of endovascular treatment should not be delayed (24).…”

Section: E a R L Y A C C E S Smentioning

confidence: 99%

Akut Renal Arter Kanamalarında Endovasküler Tedavi: Etkinliği ve Böbrek Fonksiyonlarına Etkisi

Kayali

Görür

2022

Düzce Tıp Fakültesi Dergisi

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“…4 However, performing an RAE in these patients should not increase the risk of AKI if it is performed superselectively. [4][5][6][7] Microcoils are currently the preferred embolic agents for selective RAE in many institutions. 1,2,[8][9][10] However, superselective embolization using microcoils can sometimes be challenging due to anatomic considerations.…”

Section: Introductionmentioning

confidence: 99%

“…4 However, performing an RAE in these patients should not increase the risk of AKI if it is performed superselectively. 4 -7…”

Section: Introductionmentioning

confidence: 99%

Initial Experience With the Microvascular Plug in Selective Renal Artery Embolization

Jardinet

Bonne

Oyen

et al. 2020

Vasc Endovascular Surg

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Purpose: To evaluate the safety and efficacy of the microvascular plug (MVP) for selective renal artery embolization. Methods: Retrospective review was performed on a cohort of 6 patients undergoing renal artery embolization using the MVP between July 2015 and August 2018. Patients’ demographics, indication for embolization, technical details of the embolization procedure, and clinical events were gathered from the patients’ electronic medical records. Results: The patients underwent selective renal artery embolization with a MVP for iatrogenic vascular injuries (n = 3), traumatic vascular injuries (n = 2), and for elective embolization of an angiomyolipoma (n = 1), in native kidneys (n = 4) or in renal allografts (n = 2). Immediate occlusion of the feeding artery was achieved with 1 MVP device in 4 patients. In 1 patient, a second MVP was needed, and in another patient, additional 0.018-inch microcoils were used to completely occlude the injured artery. Technical success was achieved in all patients. The volume of the resulting renal infarction was estimated less than 5% of the renal volume. No other procedure-related complications occurred. Conclusion: The MVP is a safe and effective device allowing superselective renal artery embolization. Therefore, we recommend the MVP as a valuable embolic in superselective renal artery embolization. Additionally, a single device is sufficient in most cases, potentially reducing the cost, duration, and radiation exposure of the procedure.

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Radiological options after partial nephrectomy

Öcal

Seidensticker

2023

Onkologie

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The Assessment of the Risk of Acute Kidney Injury in Patients Undergoing an Urgent Endovascular Treatment Due to Severe Renal Bleeding

Cited by 7 publications

References 27 publications

Akut Renal Arter Kanamalarında Endovasküler Tedavi: Etkinliği ve Böbrek Fonksiyonlarına Etkisi

Akut Renal Arter Kanamalarında Endovasküler Tedavi: Etkinliği ve Böbrek Fonksiyonlarına Etkisi

Initial Experience With the Microvascular Plug in Selective Renal Artery Embolization

Radiological options after partial nephrectomy

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