Ces Urol 1999, 3(1):31-34

Less invasive treatment of hemorrhage after percutaneous kidney surgeries

D. Pacík, A. Čermák, J. Boudný, K. Benda 1

Urologická klinika FN Brno-Bohunice

¹ Radiodiagnostická klinika FN Brno-Bohunice

In the period between 1992 and 1998, 644 cases of percutaneous nephrolithotomy were performed at the Department of Urology, Brno, University Hospital.
We present our experience with treatment of hemorrhage after PCNL by percutaneous arterial embolisation.
In the total of 644 patients monitored after PCNL, 5 cases (0.7%) of hemorrhagic complication occurred, which did not respond to conservative treatment. Because of significant hemorrhage after percutaneous tube removal, bleeding artery has been per-cutaneously embolised. In all cases, the situation was dealt with by superselective catheterization with subsequent embolisation.
All cases have been succesfully and less invasively treated while function has been saved. Also not frequent but clinicaly serious and urgent situations are possible to treat with minimal invasivity but still excelent result. Authors describe and discuss cases of massive hemorrhage after percutaneous nephrolithotomy. Complications after transar-terial embolisation procedures are discussed.

Keywords: Percutaneous nephrolithotomy, Complicated urolithiasis, Hemorrhage, Arteriovenous fistula, Angiography, Transarterial selective embolisation, Kidney function

Published: January 1, 1999