急诊经导管动脉栓塞术治疗医源性肾动脉出血  

Emergency transcatheter arterial embolization in treatment of iatrogenic renal arterial bleeding

作　　者：徐伟[1] 王宏辉[1] 王法[1] 王胜 张贺诚[3] 

机构地区：[1]哈尔滨医科大学附属第二医院介入科,黑龙江哈尔滨150086 [2]哈尔滨市第二医院普外科,黑龙江哈尔滨150001 [3]北京中医药大学东直门医院放射科,北京100700

出　　处：《中国介入影像与治疗学》2013年第10期588-591,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨急诊经导管动脉栓塞术（TAE）治疗NN性肾动脉出血的疗效。方法对49例医源性肾动脉出血患者行急诊肾动脉造影，确定出血动脉后，以明胶海绵、PVA颗粒和弹簧圈进行栓塞。结果。肾动脉造影显示31例对比剂外溢，肾动静脉瘘7例，肾假性动脉瘤4例，假性动脉瘤破裂合并肾动静脉瘘5例，肾动脉一肾盏瘘2例。TAE后，所有患者出血完全停止，无严重并发症出现。术后随访12～16个月，均无再次出血。结论急诊TAE治疗医源性肾出血安全、有效，具有较高临床价值。Objective To observe the efficacy of emergency transcatheter arterial emholization （TAE） in treatment of iat- rogenic renal arterial bleeding. Methods Totally 49 patients with iatrogenic renal hemorrhage underwent emergency TAE. After locating the bleeding artery, embolotherapy was performed with gelfoam strips, coils or polyvinyl alcohol （PVA） particles. Results Extravasations of contrast agent was confirmed in 31 patients. There were 7 patients with arteriovenous fistulas （AVF） of renal artery, 4 pseudoaneurysms of renal artery, 5 pseudoaneurysm rupture with AVF of renal artery, 2 renal artery-calyces fistula （ACF）. The hemorrhage completely stopped after emergency TAE in all 49 patients. No severe complications occurred. During 12--16 months follow-up, no rebleeding happened. Conclusion Emergency TAE is safe and effective for iatrogenic renal arterial bleeding, which has good clinical application value.

关 键 词：医源性疾病 出血 肾动脉 血管造影术 栓塞 

分 类 号：R699.2[医药卫生—泌尿科学]