Superselective renal artery embolization in the treatment of a child with severe closed renal comminuted injury with active bleeding and literature review

doi:10.3877/cma.j.issn.1674-3253.2022.04.017

Abstract

Abstract:

Objective

To evaluate the safety and clinical significance of superselective renal artery embolization in the treatment of severe closed renal rupture with active bleeding.

Methods

A retrospective analysis of a child with severe closed renal rupture accompanied by active bleeding was performed in our department on September 1, 2020, who received highly selective embolization via renal artery.

Results

The bleeding was completely stopped after super-selective renal artery embolization treatment, and part of the kidney tissue and function was preserved. Finally, he was discharged from the hospital. The child’s renal function remained good after follow-up. There was no recurrence of hematuria, no other complications occurred.

Conclusion

The super-selective renal artery embolization therapy in the child with severe closed renal rupture and active bleeding has significant clinical effects, which can protect renal.

Key words: Child, Renal contusion and laceration, Hemorrhage, Renal artery embolization

Tao Ma, Chunwei Ye, Zhuoheng Li, Xiaofang Yang, Hao Zhuang, Weiwei Zheng, Zhipeng Li. Superselective renal artery embolization in the treatment of a child with severe closed renal comminuted injury with active bleeding and literature review[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(04): 360-363,380.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2022.04.017

https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2022/V16/I04/360

Figures/Tables 1

References 25

[1]	Rastinehad AR, Andonian S, Smith AD, et al. Management of hemorrhagic complications associated with percutaneous nephrolithotomy[J]. J Endourol, 2009, 23(10): 1763.
[2]	Amine LM, Redouane J, Bader S, et al. Prise en charge des traumatismes graves du rein [J]. Pan African J Medical, 2015, 20(1)：116.
[3]	刘章成，朱建国，何强, 等. 超选择性肾动脉弹簧圈栓塞治疗经皮肾镜术后出血的临床研究 [J/CD]. 中华腔镜泌尿外科杂志(电子版), 2020, 14(2): 129-134.
[4]	刘吉斌. 现代介入性超声诊断与治疗 [M]. 科学技术文献出版社, 2004.
[5]	蒋小俊. 选择性肾动脉栓塞治疗肾出血的疗效及安全性评价[D]. 2018.
[6]	Hagedorn JC, Fox N, Ellison JS, et al. Pediatric blunt renal trauma practice management guidelines: collaboration between the eastern association for the surgery of trauma and the pediatric trauma society [J]. J Trauma Acute Care Surg, 2019, 86(5): 916-925.
[7]	熊云鹤，杨嗣星. 长段输尿管缺损修复技术的演进与技术革新 [J/CD]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(4): 1-4.
[8]	Nerli RB, Shridhar CG, Neeraj SD，et al. Traumatic rupture of hydronephrosis secondary to UPJ obstruction in a child: A case report [J]. Urol Case Rep, 2019, 23: 27-28.
[9]	Khalid K, Issam G, Rachid A, et al. Les traumatismes fermés du rein: à propos de 55 observations [J]. Pan Afr Med J, 2014, 17：127.
[10]	Zbkowski T, Piasecki P, Zieliński H, et al. Superselective renal artery embolization in the treatment of iatrogenic bleeding into the urinary tract [J]. Med Sci Monit, 2015, 21: 333-337.
[11]	秦荣良，王风，邵国兴, 等. 肾损伤的诊断和治疗（附240例报告） [J]. 中华泌尿外科杂志, 1995, 16(1): 10-12.
[12]	Salem MS, Urry RJ, Kong VY, et al. Traumatic renal injury: five-year experience at a major trauma centre in south africa [J]. Injury, 2020, 51(1): 39-44.
[13]	韩金元，廖正银，李俊, 等. 肾挫裂伤介入治疗1例[J]. 西南军医, 2007, 9(1): 137-138.
[14]	李涛，陈义雄. 损伤性肾出血的超选择性肾动脉栓塞治疗体会[J]. 海南医学, 2015, 26(8): 1198-201.
[15]	吴卫东. 选择性肾动脉造影栓塞治疗外伤肾出血临床观察 [J]. 医学理论与实践, 2011, 24(5): 541-542.
[16]	余海苏，吴雪华. 超选择肾动脉栓塞术治疗肾挫裂伤围介入期护理 [J]. 中华全科医学, 2014, 12(11): 1853-1855.
[17]	Fisher R, Ben-menachem Y, Whigham C. Stab wounds of the renal artery branches: angiographic diagnosis and treatment by embolization [J]. Ajr Am J Roentgenol, 1989, 152(6): 1231-1235.
[18]	Eastham JA, Wilson TG, Larsen DW, et al. Angiographic embolization of renal stab wounds[J]. J Urol, 1992, 148(2 Pt 1): 268-270.
[19]	Wang C, Mao Q, Tan F, et al. Superselective renal artery embolization in the treatment of renal hemorrhage [J]. Ir J Med Sci, 2013, 183(1): 59-63.
[20]	夏照明，土应果，郭民,等. 超选择肾动脉栓塞在创伤性肾脏出血中的应用 [J]. 临床泌尿外科杂志, 2014, 29(11): 1005-1007.
[21]	梁卓寅，曾国华，吴文起, 等. 经皮肾穿刺术后出血原因和介入栓塞治疗 [J/CD]. 中华腔镜泌尿外科杂志(电子版), 2007, 1(2): 81-83.
[22]	李彦豪. 实用临床介入诊疗学图解(第2版)(精) [M]. 科学出版社, 2007.
[23]	梁晓燕，邱玲，马啸吟,等. 超选择性肾动脉栓塞治疗经皮肾穿刺取石术后严重出血的护理 [J]. 临床医学工程, 2009, 16(12): 104-105.
[24]	左慧英，迟海波，龚洪翰, 等. 超选择性肾动脉栓塞术治疗肾性血尿的护理体会 [J]. 实用医技杂志, 2009, 16(1): 73-74.
[25]	黄文薮，朱康顺，张建生, 等. 医源性肾动脉损伤的肾动脉造影表现及栓塞治疗 [J/CD]. 中华腔镜泌尿外科杂志(电子版), 2010, 4(5): 401-405.

Please choose a citation manager

Content to export