Increasing role of angiography and segmental artery embolization in the management of renal stab wounds

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dc.contributor.authorHeyns C.F.
dc.contributor.authorVan Vollenhoven P.
dc.date.accessioned2011-05-15T16:17:15Z
dc.date.available2011-05-15T16:17:15Z
dc.date.issued1992
dc.description.abstractDuring a 5-year period 93 patients with stab wounds involving the upper urinary tract were treated. Of these patients 79 were treated initially at our department (group 1) and 14 were referred with complications after initial treatment elsewhere (group 2). In group 1, 26 patients (33%) were selected for surgery on the basis of signs of severe blood loss or associated intra-abdominal injury, or major abnormality on the excretory urogram. At operation a major renal injury and/or associated intra-abdominal laceration was found in 23 patients (88%) and nephrectomy was required in 7 (27%) of them. Nonoperative management was selected in 53 patients (67%) in group 1 and secondary hemorrhage occurred in 8 (15%). Of the patients in group 2, 4 had undergone an operation elsewhere and 10 had been managed nonoperatively. Renal arteriography was performed in 14 patients who had been managed nonoperatively (6 from group 1 and 8 from group 2) and demonstrated a traumatic pseudoaneurysm in 6, an arteriovenous fistula in 5 and no large vessel injury in 3. Selective embolization of the involved segmental artery was successful in 9 of 11 patients (82%) when angiography showed a vascular lesion. This study demonstrates the increasingly important role of renal angiography and selective embolization in the selective nonoperative management of patients with stab wounds of the kidney.
dc.description.versionArticle
dc.identifier.citationJournal of Urology
dc.identifier.citation147
dc.identifier.citation5
dc.identifier.issn00225347
dc.identifier.urihttp://hdl.handle.net/10019.1/14134
dc.subjectabdominal injury
dc.subjectadolescent
dc.subjectadult
dc.subjectarteriovenous fistula
dc.subjectarticle
dc.subjectartificial embolism
dc.subjectbleeding
dc.subjectfalse aneurysm
dc.subjectfemale
dc.subjecthematuria
dc.subjecthuman
dc.subjectintravenous urography
dc.subjectkidney angiography
dc.subjectkidney arteriography
dc.subjectkidney injury
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectnephrectomy
dc.subjectpostoperative complication
dc.subjectpriority journal
dc.subjectstab wound
dc.subjectvascular lesion
dc.subjectAdolescent
dc.subjectAdult
dc.subjectEmbolization, Therapeutic
dc.subjectFemale
dc.subjectHuman
dc.subjectKidney
dc.subjectMale
dc.subjectMiddle Age
dc.subjectRenal Artery
dc.subjectRetrospective Studies
dc.subjectWounds, Stab
dc.titleIncreasing role of angiography and segmental artery embolization in the management of renal stab wounds
dc.typeArticle
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