Management of acute post-operative hemorrhage following partial nephrectomy with renal artery embolization

Andrew T. Gabrielson; Farzana A. Faisal; Phillip M. Pierorazio

doi:10.1016/j.eucr.2020.101252

Management of acute post-operative hemorrhage following partial nephrectomy with renal artery embolization

Andrew T. Gabrielson, Farzana A. Faisal, Phillip M. Pierorazio

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Hemorrhage after robotic-assisted partial nephrectomy (RAPN) is uncommon but can cause significant morbidity. We present a case of acute hemorrhage isolated to the collecting system that was managed with renal artery embolization (RAE). A 76-year-old male developed sudden onset transfusion-dependent hematuria and hypotension following uncomplicated RAPN. He had no signs of intra-abdominal bleeding and his hypotension was responsive to volume resuscitation. Renal angiography identified a segmental artery with extravasation into the collecting system. RAE eliminated the patient's hematuria, the need for further transfusion, and allowed preservation of renal function. RAE is a viable option for collecting system hemorrhage following RAPN.

Original language	English (US)
Article number	101252
Journal	Urology Case Reports
Volume	32
DOIs	https://doi.org/10.1016/j.eucr.2020.101252
State	Published - Sep 2020

Keywords

Renal artery embolization
Renal mass
Variant anatomy

ASJC Scopus subject areas

Urology

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abstract = "Hemorrhage after robotic-assisted partial nephrectomy (RAPN) is uncommon but can cause significant morbidity. We present a case of acute hemorrhage isolated to the collecting system that was managed with renal artery embolization (RAE). A 76-year-old male developed sudden onset transfusion-dependent hematuria and hypotension following uncomplicated RAPN. He had no signs of intra-abdominal bleeding and his hypotension was responsive to volume resuscitation. Renal angiography identified a segmental artery with extravasation into the collecting system. RAE eliminated the patient's hematuria, the need for further transfusion, and allowed preservation of renal function. RAE is a viable option for collecting system hemorrhage following RAPN.",

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AU - Gabrielson, Andrew T.

AU - Faisal, Farzana A.

AU - Pierorazio, Phillip M.

PY - 2020/9

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N2 - Hemorrhage after robotic-assisted partial nephrectomy (RAPN) is uncommon but can cause significant morbidity. We present a case of acute hemorrhage isolated to the collecting system that was managed with renal artery embolization (RAE). A 76-year-old male developed sudden onset transfusion-dependent hematuria and hypotension following uncomplicated RAPN. He had no signs of intra-abdominal bleeding and his hypotension was responsive to volume resuscitation. Renal angiography identified a segmental artery with extravasation into the collecting system. RAE eliminated the patient's hematuria, the need for further transfusion, and allowed preservation of renal function. RAE is a viable option for collecting system hemorrhage following RAPN.

AB - Hemorrhage after robotic-assisted partial nephrectomy (RAPN) is uncommon but can cause significant morbidity. We present a case of acute hemorrhage isolated to the collecting system that was managed with renal artery embolization (RAE). A 76-year-old male developed sudden onset transfusion-dependent hematuria and hypotension following uncomplicated RAPN. He had no signs of intra-abdominal bleeding and his hypotension was responsive to volume resuscitation. Renal angiography identified a segmental artery with extravasation into the collecting system. RAE eliminated the patient's hematuria, the need for further transfusion, and allowed preservation of renal function. RAE is a viable option for collecting system hemorrhage following RAPN.

KW - Renal artery embolization

KW - Renal mass

KW - Variant anatomy

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Management of acute post-operative hemorrhage following partial nephrectomy with renal artery embolization

Abstract

Keywords

ASJC Scopus subject areas

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