THE SUPERSELECTIVE EMBOLIZATION OF THE BRANCHES OF RENAL ARTERY — THE SALVATION OF ORGAN!
摘要
Iatrogenic bleeding is the most common complication that arises after open and endoscopic benefits in kidneys. Predisposing factors of bleeding in the postoperative period may be in violation of the blood coagulation system and in the healing process of the vascular wall, as well as in infectious and inflammatory complications. When conservative therapy is ineffective, surgical treatment is necessary. In all of our observations was the cause of bleeding damage of segmental arteries and veins to the formation of arteriovenous fistulas. Application of superselective embolization of bleeding vessels allowed us to produce a reduction of abnormal blood flow with a maximum organ-effect.
关于作者
Y. Alyaev俄罗斯联邦
N. Grigoriev
俄罗斯联邦
S. Kondrashin
俄罗斯联邦
N. Sorokin
俄罗斯联邦
G. Martirosyan
俄罗斯联邦
参考
1. Даренков А.Ф. и др. Эндоваскулярный катетерный гемостаз при гематруии у больных с артерио-венозной фистулой почки // Методические рекомендации. — М., 1991. — С. 2–15.
2. Злобин В.Ю. Анализ и профилактика эндоскопического удаления камней почек и мочеточников // Дис. канд. мед. наук. — Ташкент, 1990.
3. Мартов А.Г. Чрескожное удаление камней почек и мочеточника // Урология и нефрология. — 1987. — №1. — С. 16–19.
4. Матвеев В.Б. и др. Вариант остановки кровотечения после перкутанной нефролитотомии // Урология и нефрология. — 1997. — № 4. — С. 39–40.
5. Pappas P., Leonardou P., Papadoukakis S., Zavos G., Michail S., Boletis J., Tzortzis G. Urgent superselective segmental renal artery embolization in the treatment of life-threatening renal hemorrhage // PMID: 16825813 [PubMed — indexed for MEDLINE]. — 2006. — Vol. 77(1). — P. 34–41.
6. Agramunt Lerma M., Lonjedo Vicent E., Rodrigo Guanter V., Ruiz Guanter A., Martínez-Rodrigo J., San Juan de Laorden C. Selective embolization in the treatment of severe renal injury // PMID: 12701488 [PubMed — indexed for MEDLINE]. — 2003. — Vol. 56(1). — P. 83–87.
7. Takebayashi S., Hosaka M., Kubota Y., Ishizuka E., Iwasaki A., Matsubara S. Transarterial embolization and ablation of renal arteriovenous malformations: effi cacy and damages in 30 patients with long-term followup // J. Urol. — 1998. — Vol. 159(3). — P. 683–689.
8. Clemens B. Interventional management of renal bleeding after partial nephrectomy // Cardiovasc Intervent Radiol. — 2007. — Vol. 30. — P. 828–832.
9. Schwartz M.J., Smith E.B., Trost D.W., Vaughan E.D. Jr. Renal artery embolization: clinical indications and experience from over 100 cases // Blackwell Synergy. — 2007. — Vol. 99(4). — P. 881–886.
10. Gremmo E., Ballanger P., Dore B., Aubert J. et. al. Hemorrhagic complications during percutaneous nephrolithotomy // Service d'Urologie: CHU de Bordeaux. — 2000. — Vol. 132. — P. 228–230.
11. Dunnick E.R., Weinerth J.L. The eff ect of ultrasonic didintegration on the outcome of percutaneous nephrolithotripsy // Jurop. Urol. — 1986. — Vol. 12. — № 4.
12. Hobin F.P. Air embolism complicating percutaneous ultrasonic litholapaxy // J. Forensic Sciences. — 1985. — Р. 1284–1286.
13. Brountzos E.N., Sisopoulos A., Nikita A., Thanos L. et. al. // Hematuria after percutaneous nephrolithotomy. Management with embolization // J. Ultrasound Med. — 1998. — Vol. 9. — № 2. — P. 95–100.
14. Agramunt Lerma M., Lonjedo Vicent E., Rodrigo Guanter V., Ruiz Guanter A., Martínez-Rodrigo J., San Juan de Laorden C. Selective embolization in the treatment of severe renal injury // PMID:12701488 [PubMed — indexed for MEDLINE]. — 2003. — Vol. 56(1). — P. 83–87.