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CONTROL OF RENAL HEMORRHAGE BY SELECTIVE ARTERIAL EMBOLIZATION

VINCENT P. CHUANG M.D., STEWART R. REUTER M.D., JOSEPH WALTER M.D., WILLIAM D. FOLEY M.D., and JOSEPH J. BOOKSTEIN M.D.1

1 Department of Radiology, University of California at San Diego, San Diego, California 92103.

An attempt was made to control renal hemorrhage by selective embolization of the renal artery in 7 patients. In 2 patients the bleeding site was single, but in 2 others, several sites of arterial extravasation were present. Two patients had arteriovenous fistulas, and 1 had an unsalvageable, macerated kidney. Six of the 7 patients (86 per cent) were treated successfully. Nephrectomy was avoided in 5. No patient developed hypertension during the follow-up of 4 months to 2 years. Our results in these patients indicate that selective arterial embolization should have an important place in the management of patients with renal trauma.


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