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Analysis of repeated renal arteriography after percutaneous nephrolithotomy

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Abstract

To review the clinical data of the patients who required repeated renal arteriography following initial super-selective renalartery embolization (SRAE) after Percutaneous Nephrolithotomy (PCNL) and to analyze the reasons for the failure. We retrospectively reviewed the data of the patients who underwent repeat renal arteriography after PCNL for persistent or recurrent severe hemorrhage from August 2001 through August 2015 at our hospital. Total of 427 SRAEs were performed in 369 patients who had undergone PCNL. 21 patients had repeated renal arteriography. Among them, 12 required 2 sessions, 5 required 3 sessions, 1 required 4 sessions, and 3 required 5 sessions. In those 37 repeated renal arteriography, 7 were due to missed pseudoaneurysm, 5 for recanalization of the embolized vessels, and finding of new renal vascular lesions in 22. These new findings included new pseudoaneurysm in sixteen, new arterio-venous fistula (AVF) in two, combination of new pseudoaneurysm and AVF in four, and no identifiable abnormity in three. Except for the missed pseudoaneurysm and the recanalization of the embolized vessels, new renal vascular lesion was the major reason for the repeated arteriography in our hospital. The cause of these new renal vascular lesions was unknown. The lesion might be missed during the initial arteriography due to arterial spasm. Progressive deterioration of the injured vessel integrity could be the other possibility.

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References

  1. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS Jr, AUA Nephrolithiasis Guideline Panel (2005) Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol 173:1991–2000

    Article  PubMed  Google Scholar 

  2. Kyriazis I, Panagopoulos V, Kallidonis P, Özsoy M, Vasilas M, Liatsikos E (2015) Complications in percutaneous nephrolithotomy. World J Urol 33:1069–1077. doi:10.1007/s00345-014-1400-8

    Article  PubMed  Google Scholar 

  3. Schwartz MJ, Smith EB, Trost DW et al (2007) Renal artery embolization:clinical indications and experience over 100 cases. BJU Int 99:881–886. doi:10.1111/j.1464-410X.2006.06653.x

    Article  PubMed  Google Scholar 

  4. Martin X, Murat FJ, Feitosa LC et al (2000) Severe bleeding after nephrolithotomy:results of heperselective embolization. Eur Urol 37:136–139. doi:10.1159/000020129

    Article  CAS  PubMed  Google Scholar 

  5. Srivastava A, Singh KJ, Suri A et al (2005) Vascular complications after Percutaneous nephrolithotomy: are there any predictive factors? Urology 66:38–40. doi:10.1016/j.urology.2005.02.010

    Article  PubMed  Google Scholar 

  6. El-Nahas AR, Shokeir AA, El-Assmy AM et al (2007) Post-percutaneous nephrolithotomy extensive hemorrhage: a study of risk factors. J Urol 177:576–579. doi:10.1016/j.juro.2006.09.048

    Article  PubMed  Google Scholar 

  7. Vignali C, Lonzi S, Bargellini I et al (2004) Vascular injuries after percutaneous renal procedures: treatment by transcatheter embolization. Eur Radiol 14:723–729. doi:10.1007/s00330-003-2009-2

    Article  PubMed  Google Scholar 

  8. Zeng G, Mai Z, Zhao Z et al (2013) Treatment of upper urinary calculi with Chinese minimally invasive percutaneous nephrolithotomy: a single-center experience with 12,482 consecutive patients over 20 years. Urolithiasis 41:225–229. doi:10.1007/s00240-013-0561-z

    Article  PubMed  Google Scholar 

  9. Michel MS, Trojan L, Rassweiler JJ (2007) Complications in percutaneous nephrolithotomy. Eur Urol 51:899–906. doi:10.1016/j.eururo.2006.10.020

    Article  PubMed  Google Scholar 

  10. EL-Nahas AR, Shokeir AA, Mohsen T et al (2008) Functional and morphological effects of postpercutaneous nephrolithotomy superselective renal angiographic embolization. Urology 71:408–412. doi:10.1016/j.urology.2007.10.033

    Article  PubMed  Google Scholar 

  11. Poulakis V, Ferakis N, Becht E et al (2006) Treatment of renal vascularinjury by transcatheter embolization: immediate and long-termeffects on renal function. J Endourol 20:405–409. doi:10.1089/end.2006.20.405

    Article  PubMed  Google Scholar 

  12. Chatziioannou A, Brountzos E, Primetis E et al (2004) Effects of superselective embolization for renal vascular injuries on renal parenchyma and function. Eur J Vasc Endovasc Surg 28:201–206. doi:10.1016/j.ejvs.2004.05.003

    Article  CAS  PubMed  Google Scholar 

  13. Rana AM, Zaidi Z, EI-Khalid S (2007) Single center review of fluoroscopy guided percutaneous nephrostomy performed by urologic surgeons. J Endourol 21:688–691. doi:10.1089/end.2006.0281

    Article  PubMed  Google Scholar 

  14. Sam K, Gahide G, Soulez G et al (2011) Percutaneous embolization of iatrogenic arterial kidney injuries: safety, efficacy, and impact on blood pressure and renal function. J Vasc Interv Radiol 22:1563–1568. doi:10.1016/j.jvir.2011.06.020

    Article  PubMed  Google Scholar 

  15. Mohsen T, El-Assmy A, El-Diasty T (2008) Long-term functional and morphological effects of transcatheter arterial embolization of traumatic renal vascular injury. BJU Int 101:473–477. doi:10.1111/j.1464-410X.2007.07185.x

    PubMed  Google Scholar 

  16. Lynch TH, Martnez-Pieiro L, Plas E et al (2005) EAU guidelines on urological trauma. Eur Urol 47:1–15. doi:10.1016/j.eururo.2004.07.028

    Article  PubMed  Google Scholar 

  17. Dorffner R, Thurnher S, Prokesch R et al (1998) Embolization of iatrogenic vascular injuries of renal transplants immediate and follow-up results. Cardio vasc Intervent Radiol 21:129–134

    Article  CAS  Google Scholar 

  18. Huber J, Pahernik S, Hallscheidt P et al (2011) Selective transarterial embolization for posttraumatic renal hemorrhagea second try is worthwhile. J Urol 185:1751–1755. doi:10.1016/j.juro.2010.12.045

    Article  PubMed  Google Scholar 

  19. Chun-sheng Liu (2007) Selective renal arterial emboliztion for kidney hemorrhage after PCNL. Chin J Intervet Radiol 1:33–35

    Google Scholar 

  20. Zeng G, Zhao Z, Wan S et al (2013) Failure of initial renal arterial embolization for severe post-percutaneous nephrolithotomy hemorrhage: a multicenter study of risk factors. J Urol 190:2133–2138. doi:10.1016/j.juro.2013.06.085

    Article  PubMed  Google Scholar 

  21. Jain V, Ganpule A, Vyas J et al (2009) Management of non-neoplastic renal hemorrhage by transarterial embolization. Urology 74:522–526. doi:10.1016/j.urology.2008.11.062

    Article  PubMed  Google Scholar 

  22. Jian Kong, Yong-chong Dou, Zhang Yan-fang Wu, Yu-xuan Shen Xin-ying, Zhen-wen Lin (2008) Transcather segmental renal arterial embolization for hemorrhage related iatrogenic injuries. Chin J Emerg Med 17:550–551

    Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of the Guangzhou Medical University, Guangzhou, Guangdong, China

    He Zhaohui, Lei Hanqi & Zeng Guohua

  2. Guangdong Key Laboratory of Urology, Guangzhou, Guangdong, China

    He Zhaohui, Lei Hanqi & Zeng Guohua

  3. Department of Urology, The Second Hospital Affiliated to Nanchang University, Nanchang, Jiangxi, China

    Lu Xiongbing

  4. Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China

    Zhang Caixia

  5. Department of Urology, Chinese-American Stone Center, The First People’s Hospital of Xiaoshan, Hangzhou, Zhejiang, China

    Wan Shawpong

  6. Kangda Road #1, Haizhou Distritct, Guangzhou, 510230, Guangdong, China

    He Zhaohui

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  1. He Zhaohui
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  2. Lei Hanqi
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  3. Lu Xiongbing
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  4. Zhang Caixia
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  5. Wan Shawpong
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  6. Zeng Guohua
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Correspondence to He Zhaohui.

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Zhaohui, H., Hanqi, L., Xiongbing, L. et al. Analysis of repeated renal arteriography after percutaneous nephrolithotomy. Urolithiasis 45, 495–499 (2017). https://doi.org/10.1007/s00240-016-0936-z

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  • DOI: https://doi.org/10.1007/s00240-016-0936-z

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