Skip to main content
Log in

Interventional Management of Renal Bleeding after Partial Nephrectomy

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Objective

Partial nephrectomy (PN) has emerged as a serious alternative to nephrectomy in oncologic therapy of renal tumours. While complications are rare in general, renal hemorrhage may occur und necessitate angiographic embolization. In this retrospective study, we evaluate the clinical, imagingand procedural findings of seven interventions in five patients with renal hemorrhage after PN. In four out of five patients (80%) the bleeding could be treated successfully by embolotherapy.

Conclusion

Angiographic embolization in patients with renal hemorrhage after PN is feasible and has a high success rate. The procedure might facilitate avoidance of nephrectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Albqami N, Janetschek G (2005) Laparoscopic partial nephrectomy. Curr Opin Urol 15:306–311

    Article  PubMed  Google Scholar 

  2. Lapini A, Serni S, Minervini A, et al. (2005) Progression and long-term survival after simple enucleation for the elective treatment of renal cell carcinoma: Experience in 107 patients. J Urol 174:57–60

    Article  PubMed  Google Scholar 

  3. Becker F, Siemer S, Humke U, Hack M, Ziegler M, Stockle M (2006) Elective nephron sparing surgery should become standard treatment for small unilateral renal cell carcinoma: Long-term survival data of 216 patients. Eur Urol 49(2):308–313

    Article  PubMed  CAS  Google Scholar 

  4. Seifman BD, Hollenbeck BK, Wolf JS Jr (2004) Laparoscopic nephron-sparing surgery for a renal mass: 1-year minimum follow-up. J Endourol 18:783–786

    Article  PubMed  Google Scholar 

  5. Desai MM, Gill IS, Kaouk JH, et al. (2003) Laparoscopic partial nephrectomy with suture repair of the pelvicaliceal system. Urology 61:99–104

    Article  PubMed  Google Scholar 

  6. Aslan G, Men S, Gulcu A, et al. (2005) Percutaneous embolization of persistent urinary fistula after partial nephrectomy using N-butyl-2-cyanoacrylate. Int J Urol 12:838–841

    Article  PubMed  Google Scholar 

  7. Negoro H, Kawakita M, Koda Y (2005) Renal artery pseudoaneurysm after laparoscopic partial nephrectomy for renal cell carcinoma in a solitary kidney. Int J Urol 12:683–685

    Article  PubMed  Google Scholar 

  8. Albani JM, Novick AC (2003) Renal artery pseudoaneurysm after partial nephrectomy: Three case reports and a literature review. Urology 62:227–231

    Article  PubMed  Google Scholar 

  9. Gill IS, Colombo JR Jr, Moinzadeh A, et al. (2006) Laparoscopic partial nephrectomy in solitary kidney. J Urol 175:454–458

    Article  PubMed  Google Scholar 

  10. Weise ES, Winfield HN (2005) Laparoscopic partial nephrectomy. J Endourol 19:634–642

    Article  PubMed  Google Scholar 

  11. Trocciola SM, Chaer RA, Lin SC, et al. (2005) Embolization of renal artery aneurysm and arteriovenous fistula: A case report. Vasc Endovasc Surg 39:525–529

    Article  Google Scholar 

  12. Hidas G, Croitoru S, Wolfson V, et al. (2005) Renal artery pseudoaneurysm after partial nephrectomy complicated by rupture into the collecting system, managed by selective angiographic embolization. Isr Med Assoc J 7:410–411

    PubMed  Google Scholar 

  13. Porcaro AB, Migliorini F, Pianon R, et al. (2004) Intraparenchymal renal artery aneurysms: Case report with review and update of the literature. Int Urol Nephrol 36:409–416

    Article  PubMed  Google Scholar 

  14. Wright JL, Porter JR (2005) Renal artery pseudoaneurysm after laparoscopic partial nephrectomy. Urology 66:1109

    PubMed  Google Scholar 

  15. Singh D, Gill IS (2005) Renal artery pseudoaneurysm following laparoscopic partial nephrectomy. J Urol 174:2256–2259

    Article  PubMed  Google Scholar 

  16. Kawamoto S, Montgomery RA, Lawler LP, et al. (2003) Multidetector CT angiography for preoperative evaluation of living laparoscopic kidney donors. AJR Am J Roentgenol 180:1633–1638

    PubMed  Google Scholar 

  17. Moinzadeh A, Gill IS, Finelli A, et al. (2006) Laparoscopic partial nephrectomy: 3-year follow-up. J Urol 175:459–462

    Article  PubMed  Google Scholar 

  18. Parsons JK, Schoenberg MP (2001) Renal artery pseudoaneurysm occurring after partial nephrectomy. Urology 58:105

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Clemens Baumann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Baumann, C., Westphalen, K., Fuchs, H. et al. Interventional Management of Renal Bleeding after Partial Nephrectomy. Cardiovasc Intervent Radiol 30, 828–832 (2007). https://doi.org/10.1007/s00270-007-9033-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-007-9033-6

Keywords

Navigation