Radiology Page (General Urulogy)

Endovascular Management of Vascular Complications Related to Percutaneous Renal Procedures


  • Çagatay Bölgen
  • Mustafa Mazican
  • Murat Gedikoglu
  • Çagatay Andiç

Received Date: 03.02.2016 Accepted Date: 08.02.2016 J Urol Surg 2016;3(1):34-35

Keywords: Embolization, renal, vascular, renovascular, complication, percutaneous


Our aim was to present the technical success and safety of selective endovascular treatment of renovascular complications related to percutaneous renal procedures. Pseudoaneurysm, renal haemorrhage and arteriovenous fistula are common complications of percutaneous renal interventions, such as percutaneous nephrolithotomy, percutaneous nephrostomy tube placement and renal biopsy (1). While conservative follow-up is an acceptable and non-invasive choice, if the patient becomes dynamically unstable, management of these complications can be achieved either by open surgical procedures or minimally invasive endovascular embolization (2). Complications of endovascular embolization, such as renal artery dissection, post-embolization syndrome and loss of renal function are rare. However, superselective embolization performed as distal as possible minimizes the parenchymal loss of functional renal tissue (1). We present 3 patients (two native kidney, one transplanted), suffering from renovascular complications after percutaneous renal procedures, treated with transarterial selective renal embolization. In all 3 patients, distal access to the lesions was gained with a microcatheter and embolization was performed with coils (2,3). No complications occurred. The post-operative course was uneventful in all patients. Endovascular treatment, especially selective renal artery embolization, is a safe and effective, minimally invasive alternative procedure for vascular complications related to percutaneous renal procedures. Ethics Peer-review: Internal peer-reviewed. Authorship Contributions Concept: Çagatay Andiç, Design: Çagatay Bölgen, Data Collection or Processing: Murat Gedikoglu, Analysis or Interpretation: Mustafa Mazican, Literature Research: Çagatay Bölgen, Writing: Çagatay Bölgen. Conflict of Interest: No conflict of interest was declared by the authors. Financial Disclosure: The authors declared that this study has received no financial support.

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2. Mavili E, Donmez H, Ozcan N, Sipahioglu M, Demirtas A, Transarterial embolization for renal arterial bleeding. Diagn Interv Radiol 2009,15-143