Cargando…
Percutaneous embolization of renal pseudoaneurysms: A retrospective study
INTRODUCTION: We evaluated the efficacy of the mixture of autologous blood and a hemostatic agent, oxidized regenerative cellulose (ORC), as an alternative material for ultrasound (US)-guided percutaneous embolization of renal pseudoaneurysm (PA). METHODS: In this retrospective study, consecutive pa...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787449/ https://www.ncbi.nlm.nih.gov/pubmed/36568457 http://dx.doi.org/10.4103/iju.iju_109_22 |
_version_ | 1784858514389204992 |
---|---|
author | Bagheri, Seyed Morteza Ghadamzadeh, Mostafa Chavoshi, Mohammadreza |
author_facet | Bagheri, Seyed Morteza Ghadamzadeh, Mostafa Chavoshi, Mohammadreza |
author_sort | Bagheri, Seyed Morteza |
collection | PubMed |
description | INTRODUCTION: We evaluated the efficacy of the mixture of autologous blood and a hemostatic agent, oxidized regenerative cellulose (ORC), as an alternative material for ultrasound (US)-guided percutaneous embolization of renal pseudoaneurysm (PA). METHODS: In this retrospective study, consecutive patients diagnosed with renal PA were included. The exclusion criteria were: PA of the main renal artery, tiny PA not visualized on the colour doppler ultrasonography, PA more than 3 cm in max diameter or extracapsular PA with the possibility of massive bleeding, and patients with a history of coagulation disorders. After localizing the PA, a mixture of autologous blood and ORC was injected under US guidance with a 15G coaxial needle. Patients were followed up for at least 6 months. RESULTS: Twenty-nine patients with PA were included, of which 26 had a history of percutaneous nephrolithotomy, and three patients had a history of renal biopsy (24 men and five women with an average age of 44.3 years). Gross hematuria was the most common mode of presentation. The mean size of the PA was 16.6 mm and the mean duration of follow-up was 9 months. The clinical and the technical success rate was 100%. The PA could be thrombosed in all the patients with a single-session of injection. No acute (hematoma, infection, and bleeding) or chronic (thromboembolic events, renal cortical atrophy, and recurrence) complications were seen. CONCLUSION: Percutaneous embolization of renal PA under US guidance with a mixture of autologous blood and ORC is an efficient and easily available first-line method to treat this potentially life-threatening condition when endovascular embolization or other expensive thrombotic agents are not available. |
format | Online Article Text |
id | pubmed-9787449 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-97874492022-12-24 Percutaneous embolization of renal pseudoaneurysms: A retrospective study Bagheri, Seyed Morteza Ghadamzadeh, Mostafa Chavoshi, Mohammadreza Indian J Urol Original Article INTRODUCTION: We evaluated the efficacy of the mixture of autologous blood and a hemostatic agent, oxidized regenerative cellulose (ORC), as an alternative material for ultrasound (US)-guided percutaneous embolization of renal pseudoaneurysm (PA). METHODS: In this retrospective study, consecutive patients diagnosed with renal PA were included. The exclusion criteria were: PA of the main renal artery, tiny PA not visualized on the colour doppler ultrasonography, PA more than 3 cm in max diameter or extracapsular PA with the possibility of massive bleeding, and patients with a history of coagulation disorders. After localizing the PA, a mixture of autologous blood and ORC was injected under US guidance with a 15G coaxial needle. Patients were followed up for at least 6 months. RESULTS: Twenty-nine patients with PA were included, of which 26 had a history of percutaneous nephrolithotomy, and three patients had a history of renal biopsy (24 men and five women with an average age of 44.3 years). Gross hematuria was the most common mode of presentation. The mean size of the PA was 16.6 mm and the mean duration of follow-up was 9 months. The clinical and the technical success rate was 100%. The PA could be thrombosed in all the patients with a single-session of injection. No acute (hematoma, infection, and bleeding) or chronic (thromboembolic events, renal cortical atrophy, and recurrence) complications were seen. CONCLUSION: Percutaneous embolization of renal PA under US guidance with a mixture of autologous blood and ORC is an efficient and easily available first-line method to treat this potentially life-threatening condition when endovascular embolization or other expensive thrombotic agents are not available. Wolters Kluwer - Medknow 2022 2022-10-01 /pmc/articles/PMC9787449/ /pubmed/36568457 http://dx.doi.org/10.4103/iju.iju_109_22 Text en Copyright: © 2022 Indian Journal of Urology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Bagheri, Seyed Morteza Ghadamzadeh, Mostafa Chavoshi, Mohammadreza Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title | Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title_full | Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title_fullStr | Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title_full_unstemmed | Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title_short | Percutaneous embolization of renal pseudoaneurysms: A retrospective study |
title_sort | percutaneous embolization of renal pseudoaneurysms: a retrospective study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787449/ https://www.ncbi.nlm.nih.gov/pubmed/36568457 http://dx.doi.org/10.4103/iju.iju_109_22 |
work_keys_str_mv | AT bagheriseyedmorteza percutaneousembolizationofrenalpseudoaneurysmsaretrospectivestudy AT ghadamzadehmostafa percutaneousembolizationofrenalpseudoaneurysmsaretrospectivestudy AT chavoshimohammadreza percutaneousembolizationofrenalpseudoaneurysmsaretrospectivestudy |