Ces radiol. 2014, 68(2):120-123

Iatrogenic injury of renal arteries - endovascular treatmentOriginal article

Marie Černá1, Martin Köcher1, Vojtěch Prášil1, Stanislav Buřval1, David Hradil2, František Hruška2, Vladimír Študent jr.2
1 Radiologická klinika LF UP a FN, Olomouc
2 Urologická klinika LF UP a FN, Olomouc

Aim: To evaluate the outcome of endovascular treatment of iatrogenic injury of renal arteries.

Method: From November 2005 to November 2013 we treated 11 patients with iatrogenic injury of renal arteries. There were 5 women and 6 men, aged from 45 to 71; the average age was 57.8 years. Cause of injury was percutaneous extraction of concrements in 6 patients, partial nephrectomy in 2 patients and biopsy of transplant kidney in 2 patients. All patients had hematuria. Source of hematuria was pseudoaneurysm in 7 patients, pseudoaenurysm and arteriovenous fistula in 3 patients and arteriovenous fistula in one patient. Peripheral branches were injured in all patients. Renal injury was managed by coil embolization in all cases.

Results: Technical success was achieved in 100%. Clinical success (stop hematuria, hemodynamic stability, improved function of transplant kidneys) was 100%. No major complication was found.

Conclusion: Endovascular treatment of iatrogenic injury of renal arteries is simple, safe and very effective.

Keywords: renal artery, iatrogenic injury, endovascular treatment

Accepted: April 4, 2014; Published: June 1, 2014  Show citation

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Černá M, Köcher M, Prášil V, Buřval S, Hradil D, Hruška F, Študent V. Iatrogenic injury of renal arteries - endovascular treatment. Ces radiol. 2014;68(2):120-123.
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