Selective arterial embolization for @entity2849 and XXXX following partial nephrectomy.

@entity1 @entity811 @entity8 @entity556 @entity548 @entity1003 @entity2548 @entity2849
PURPOSE: We describe the presentation, endovascular management and functional outcomes of 15 @entity1 with renal arterial @entity2849 following open and laparoscopic partial nephrectomy. MATERIALS AND METHODS: An institutional review board approved, Health Insurance Portability and Accountability Act compliant retrospective review of a prospectively maintained database revealed that 7 of 1,160 @entity1 who underwent open partial nephrectomy and 8 of 301 treated with laparoscopic partial nephrectomy were diagnosed with a @entity2849 of a renal artery branch between 2003 and 2010. Some cases were associated with @entity2548 . RESULTS: Diagnosis of @entity2849 was made a median of 14 days after surgery. Gross @entity811 was the most frequent symptom. Median estimated glomerular filtration rate measurements at the preoperative evaluation, postoperatively, on the day the vascular lesion was diagnosed, after embolization and at the last followup were 62, 55, 55, 56 and 58 ml/minute/1.73 m(2), respectively. Median followup was 7.8 months. All @entity1 underwent angiography and superselective coil embolization of 1 or more @entity2849 with or without @entity2548 . Eleven @entity1 had immediate cessation of symptoms while 4 had persistent gross @entity811 after the procedure. Of these 4 @entity1 2 were treated with bedside care, 1 required repeat embolization with @entity556 , which was successful, and the remaining @entity1 had @entity1003 and underwent radical nephrectomy for persistent @entity548 . CONCLUSIONS: @entity2849 and @entity8 are rare complications of partial nephrectomy. Presentation is often delayed. Superselective coil embolization is a safe, minimally invasive treatment option that usually solves the clinical problem and preserves renal function.
