Percutaneous renal artery embolisation of non-functioning allograft. Preliminary experience.
Radiol Med
; 110(5-6): 501-5, 2005.
Article
en En, It
| MEDLINE
| ID: mdl-16437036
ABSTRACT
PURPOSE:
Percutaneous renal artery embolisation has been introduced as an alternative to nephrectomy in patients with non-functioning allograft and Graft Intolerance Syndrome (GIS). The symptoms resulting from GIS include fever, local pain, hypertension and haematuria. MATERIALS ANDMETHODS:
From April to October 2003, five patients were treated using this technique. The intraparenchymal renal arteries were embolized by injection of calibrated tris-acryl gelatin microspheres of increasing size (from 100-300 to 700-900 microns) and occlusion was completed by the insertion of 5mm to 8mm steel coils into the renal artery.RESULTS:
The procedure was well tolerated in all cases and no major complications occurred. In 3 patients GIS-related symptoms disappeared immediately. One patient required a second embolisation due to collateral circulation arising from a lumbar artery with resolution of symptoms. In the last case, the patient underwent nephrectomy because of septic fever.CONCLUSIONS:
On the basis of our preliminary experience we believe that, in selected patients, percutaneous renal artery embolisation is an effective, repeatable and minimally invasive alternative to nephrectomy with no significant serious complications.
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Base de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Arteria Renal
/
Trasplante de Riñón
/
Embolización Terapéutica
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
/
It
Revista:
Radiol Med
Año:
2005
Tipo del documento:
Article
País de afiliación:
Italia