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• W2461454949 abstract "No AccessJournal of Urology1 Aug 1992Angiographic Embolization Of Renal Stab Wounds James A. Eastham, Timothy G. Wilson, Donald W. Larsen, and Thomas E. Ahlering James A. EasthamJames A. Eastham More articles by this author , Timothy G. WilsonTimothy G. Wilson More articles by this author , Donald W. LarsenDonald W. Larsen More articles by this author , and Thomas E. AhleringThomas E. Ahlering More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36568-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Nonoperative management of renal stab wounds following complete radiographic assessment has become an accepted if not preferred therapeutic option. Selected injuries, however, including renal artery branch injuries, often require surgical intervention and result in partial or total nephrectomy. We report our experience with 16 renal branch arterial injuries secondary to street stabbing during the last 10 years that were managed with angiography and embolization techniques. Angiography with embolization was the initial treatment in 11 patients, while 5 had undergone emergency surgical intervention initially because of hemodynamic instability. Subsequently, gross hematuria recurred in the latter 5 patients and they were managed angiographically. Overall, 14 of 16 patients had prompt hemostasis documented either on the post-embolization angiogram or by clinical assessment. In 2 patients bleeding was increased but partial nephrectomy ultimately was required. Complications included nontarget embolization in 2 patients: 1 subsequently had hypertension and 1 had no untoward effect as a result of this complication. We conclude that angiography with transcatheter embolization techniques provides a safe and effective means of managing renal artery branch injuries secondary to stab wounds. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByBreyer B, McAninch J, Elliott S and Master V (2018) Minimally Invasive Endovascular Techniques to Treat Acute Renal HemorrhageJournal of Urology, VOL. 179, NO. 6, (2248-2253), Online publication date: 1-Jun-2008.Bui B, Oliva V, Péloquin F, Harel C, Nicolet V and Carignan L (2018) Correction of Deteriorating Renal Function by Superselective Embolization of an Arcuate Renal Artery PseudoaneurysmJournal of Urology, VOL. 152, NO. 6 Part 1, (2087-2088), Online publication date: 1-Dec-1994.Eastham J, Wilson T and Ahlering T (2018) Urological Evaluation and Management of Renal-Proximity Stab WoundsJournal of Urology, VOL. 150, NO. 6, (1771-1773), Online publication date: 1-Dec-1993. Volume 148Issue 2 Part 1August 1992Page: 268-270 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordswounds and injurieskidneywoundsangiographystabMetricsAuthor Information James A. Eastham More articles by this author Timothy G. Wilson More articles by this author Donald W. Larsen More articles by this author Thomas E. Ahlering More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W2461454949 title "Angiographic Embolization Of Renal Stab Wounds" @default.
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