CASE20220826_029

Selective Coil Embolization to Preserve the Renal Tissue in a Case of Post Traumatic Renal Injury

By Hariom Tyagi
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Presenter

HARIOM TYAGI

Authors

Hariom Tyagi1

Affiliation

Lokpriya Hospital, India1
High-Risk Intervention (diabetes, heart failure, renal failure, shock, etc) - High-Risk Intervention

Selective Coil Embolization to Preserve the Renal Tissue in a Case of Post Traumatic Renal Injury

Hariom Tyagi1

Lokpriya Hospital, India1

Clinical Information

Patient initials or Identifier Number

535MN

Relevant Clinical History and Physical Exam

A 14 years young patient went to a Hospital as a case of accidental penetrating injury by a pair of scissors. After stitching and dressing the local wound, the patient was discharged. The patient had multiple admissions to the same hospital with hematuria and severe anemia for which patient was managed conservatively by blood transfusion and IV medications.

Relevant Test Results Prior to Catheterization

Relevant Catheterization Findings

Later the patient came to us, the investigation revealed a 14x10 mm Pseudo Aneurysm along with complex grade 3 laceration at upper pole of right Kidney. Initially Nephrectomy was planned.

Interventional Management

Procedural Step

Later the patient came to us, the investigation revealed a 14x10 mm Pseudo Aneurysm along with complex grade 3 laceration at upper pole of right Kidney. Initially Nephrectomy was planned. However later on Selective coiling of the feeding artery was done and on follow up the hematuria stopped and patient recovered without undergoing Nephrectomy.For coil embolization-  6F JR 3.5 catheter was used. Microferret infusion catheter(Cook medical)  was used to Selectively cannulate the feeding renal artery. Coil embolization was done using 0.018” Hilal Embolization Microcoils (2mmx2 cm) from Cook medical using Cirrus-14 microwire .

Case Summary

Thorough investigations should be done in order to figure out the right treatment option. Secondly coiling is a good option in these type of cases in order to save the patient from undergoing nephrectomy.