Experience Of Endovascular Management In Renovascular Bleeds In A Tertiary Care Hospital Of North-Eastern India

Research Article
Meher Ranjit., Handique Akash., Lynser Donboklang., Phukan Pranjal and Daniala Chhungthang
DOI: 
http://dx.doi.org/10.24327/ijrsr.2017.0804.0188
Subject: 
science
KeyWords: 
Renovascular bleeds; Endovascular management; PCNL; AVM, AVF; Renal biopsy
Abstract: 

Renovascular bleeding is a cause of morbidity and mortality resulting from vascular lesions occurring spontaneously or following traumatic injuries. Most of the renal vascular bleed are selflimiting and do not need any intervention, however haemorrhage or gross haematuria may necessitate therapy. Treatment of renovascular bleed can be achieved either by surgery or minimally invasive endovascular therapy. In this article, we have studied the role and effectiveness of endovascular treatment in renovascular bleeds in ten patients whose intervention was done between May 2008 and January 2017 in our department. The Pre- and post-embolization angiographic findings and post procedure results were reviewed for success and efficacy. The lesions included six pseudo aneurysms and five AVF which were secondary to iatrogenic trauma in 70 % patients (four biopsy, three PCNL) and spontaneous in 30% patients. In most of patients, coil embolization was done. There was 100% success rate with no demonstrable complications.