About this item:
443 Views | 432 Downloads
Author Notes:
Correspondence: Irwin M. Best, Emory University School of Medicine, Department of Radiology, Interventional Radiology, 1364 Clifton Road NE, Atlanta, GA 30322, USA. Tel. +1.404.712.7033 - Fax +1.404.712.7970. E-mail: ibest@emory.edu
Subject:
Keywords:
- percutaneous renal artery repair
- traumatic disruption of renal artery
- stent graft repair of disrupted renal artery
Percutaneous repair of a disrupted left renal artery after rapid stabilization
Abstract:
Fortunately, acute renal artery injuries occur infrequently in blunt trauma patients. Renal salvage in the multi-trauma patient is a daunting task. If after judicious consideration, intervention is warranted, then expeditious repair should follow. Rapid control of exanguinating injuries should be accomplished and the patient stabilized for further intervention - surgical or endovascular. We present the case of a patent who presented with left pneumothorax, multiple bilateral rib, scapula, long bone fractures, hypotension, hemoperitoneum, non perfusion of the left kidney, and a shattered spleen. She underwent emergent splenectomy and stabilization of her pressure. The left renal artery was evaluated and repaired with a covered stent. This approach might be beneficial in highly selected patients with favorable physiologic and anatomical presentations.
Copyright information:
© I.M. Best, 2011
This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/).
