Renal artery embolisation : indications and utilisation at Tygerberg Hospital

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dc.contributor.authorPretorius, R.en_ZA
dc.contributor.authorVlok, S.en_ZA
dc.contributor.authorVan der Merwe, A.en_ZA
dc.contributor.authorZarrabi, A. D.en_ZA
dc.contributor.authorDu Toit, K.en_ZA
dc.date.accessioned2021-03-08T13:20:12Z
dc.date.available2021-03-08T13:20:12Z
dc.date.issued2019
dc.descriptionCITATION: Pretorius, R., et al. 2019. Renal artery embolisation : indications and utilisation at Tygerberg Hospital. South African Journal of Surgery, 57(4):34-40, doi:10.17159/2078-5151/2019/v57n4a2819.
dc.descriptionThe original publication is available at http://www.scielo.org.za
dc.description.abstractENGLISH ABSTRACT: To evaluate the indications, efficacy and outcomes of endovascular renal artery embolisation (RAE) in the management of renal haemorrhage, specifically in cases of non-iatrogenic origin. METHODS: This is a retrospective case note review of 92 patients who underwent RAE in the period from August 1999 to August 2014 at Tygerberg Hospital. RESULTS: Renal artery embolisation was performed in a total of 92 patients. The indication was traumatic renal injury in 60 patients (65.2%), with mean age 28.2 years. The mechanism of injury was stabbing (55.4%), blunt trauma (7.6%) and gunshot (2.2%). Digital subtraction angiography (DSA) showed pseudo-aneurysm in 32.6%, arteriovenous fistula in 19.6% and segmental artery injury in 13%. : 85% after one, 88.9% after a second attempt, with an overall success rate of 98.3% after two attempts. In 20 of the 92 patients (mean age 50.2 years) the indication was malignancy (21.7%). Other cases included iatrogenic haematuria (4.3%) and angiomyolipoma (3.3%). Embolisation was repeated in 16.3%, with eventual success rate of 93.8%. Post-embolisation syndrome was the most common complication, seen in 9.8% of all cases. Of the 9 patients who returned for follow-up with renogram imaging, 4 had a differential function of > 20% of the embolised kidney. CONCLUSION: Renal artery embolisation remains a very successful method of managing renal haemorrhage at this hospital, whether this results from trauma, malignancy, iatrogenic or other causes.en_ZA
dc.description.urihttp://www.scielo.org.za/scielo.php?script=sci_abstract&pid=S0038-23612019000400008&lng=en&nrm=iso&tlng=en
dc.description.versionPublishers version
dc.format.extent8 pagesen_ZA
dc.identifier.citationPretorius, R., et al. 2019. Renal artery embolisation : indications and utilisation at Tygerberg Hospital. South African Journal of Surgery, 57(4):34-40, doi:10.17159/2078-5151/2019/v57n4a2819.
dc.identifier.issn2078-5151 (online)
dc.identifier.issn0038-2361 (print)
dc.identifier.otherdoi:10.17159/2078-5151/2019/v57n4a2819.
dc.identifier.urihttp://hdl.handle.net/10019.1/109632
dc.language.isoen_ZAen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectRenal arteryen_ZA
dc.subjectTherapeutic embolizationen_ZA
dc.subjectAneurysmsen_ZA
dc.subjectEndovascular surgeryen_ZA
dc.titleRenal artery embolisation : indications and utilisation at Tygerberg Hospitalen_ZA
dc.typeArticleen_ZA
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