scholarly journals Endovascular Rescue for Renal Artery Pseudoaneurysms following Minimally Invasive Robot-Assisted Partial Nephrectomy—A Case Series

2022 ◽  
Author(s):  
Nagateja Bonala ◽  
Vidya Bhargavi ◽  
Indushekhar Subbanna ◽  
Bharath KS ◽  
Rajkumar Patel
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Case Series ◽  
Vascular Complications ◽  
Renal Tumors ◽  
Robot Assisted ◽  
Selective Embolization ◽  
Artery Pseudoaneurysm ◽  
Nephron Sparing ◽  
Renal Artery Pseudoaneurysm

AbstractNephron sparing surgery or partial nephrectomy has been employed ever since in cases of renal tumors with an aim to preserve the function of residual kidney. Lately, there has been increasing adoption in robot-assisted techniques for partial nephrectomy. However, renal surgeries of any kind have always been a hazard for postoperative vascular complications owing to high vascularity of the renal tissues, of which renal artery pseudoaneurysm is one of the most fatal complications. We present a case series where highly super-selective embolization rescues the patient and augments the nephron sparing nature of the precise robot-assisted partial nephrectomy.

scholarly journals Natural history of asymptomatic renal artery pseudoaneurysm after robot-assisted partial nephrectomy

2021 ◽  
Vol 10 (9) ◽  
pp. 3555-3565
Author(s):  
Tatsuya Takayama ◽  
Akifumi Fujita ◽  
Toru Sugihara ◽  
Akira Fujisaki ◽  
Masahiro Yamazaki ◽  
...  
Keyword(s):  
Natural History ◽  
Renal Artery ◽  
Partial Nephrectomy ◽  
Robot Assisted ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Renal Artery Pseudoaneurysm

scholarly journals Early unclamping might reduce the risk of renal artery pseudoaneurysm after robot-assisted laparoscopic partial nephrectomy

2015 ◽  
Vol 22 (12) ◽  
pp. 1096-1102 ◽  
Author(s):  
Tsunenori Kondo ◽  
Toshio Takagi ◽  
Satoru Morita ◽  
Kenji Omae ◽  
Yasunobu Hashimoto ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Laparoscopic Partial Nephrectomy ◽  
Robot Assisted ◽  
Artery Pseudoaneurysm ◽  
Renal Artery Pseudoaneurysm

scholarly journals Emergent Embolization of a Very Late Detected Pseudoaneurysm at a Lower Pole Subsegmental Artery of the Kidney after Clampless Laparoscopic Partial Nephrectomy

2016 ◽  
Vol 10 (2) ◽  
pp. 105-107 ◽  
Author(s):  
Francesco Chiancone ◽  
Maurizio Fedelini ◽  
Luigi Pucci ◽  
Domenico Di Lorenzo ◽  
Clemente Meccariello ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Renal Artery ◽  
Partial Nephrectomy ◽  
Renal Tumors ◽  
Invasive Technique ◽  
Absorbable Suture ◽  
Lower Pole ◽  
Artery Pseudoaneurysm ◽  
Surgical Complexity ◽  
Renal Artery Pseudoaneurysm

Renal artery pseudoaneurysm is a rare but life-threatening condition. Its incidence is higher after minimally invasive partial nephrectomy (PN) than after the open approach. We reported a case of a renal artery pseudoaneurysm occurred about four months after a clampless laparoscopic PN. A 49-year-old female underwent a clampless laparoscopic PN for a right renal tumor with high surgical complexity. The patient experienced an intraoperative blood loss from renal bed and the surgeons performed a deep medullary absorbable suture. Three months after surgery the patient underwent a renal ultrasonography with good results. The patient came to our emergency department 115 days after surgery with a hypovolemic shock stage 3. Her CT scan showed a pseudoaneurysm of a lower pole vessel of the right kidney. She underwent a superselective embolization of the segmental renal artery. The surgical complexity of the tumor, the anatomical relationships with the renal sinus and the deep medullary suture could be responsible for the development of the pseudoaneurysm. The authors presented an unusual case of a very late detected pseudoaneurysm of a renal vessel, suggesting that all very complex renal tumors removed with a minimally invasive technique should be followed up closely at least during the first six-months in order to early detect this major complication.

Surgery-Related Outcomes and Postoperative Split Renal Function by Scintigraphy Evaluation in Robot-Assisted Partial Nephrectomy in Complex Renal Tumors: An Initial Case Series

2015 ◽  
Vol 29 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Kazushi Tanaka ◽  
Junya Furukawa ◽  
Katsumi Shigemura ◽  
Nobuyuki Hinata ◽  
Takeshi Ishimura ◽  
...  
Keyword(s):  
Renal Function ◽  
Partial Nephrectomy ◽  
Case Series ◽  
Renal Tumors ◽  
Robot Assisted ◽  
Split Renal Function

scholarly journals Renal artery pseudoaneurysm after open partial nephrectomy for renal cell carcinoma

2019 ◽  
Vol 87 (1) ◽  
pp. 11-14
Author(s):  
Erdem Kisa ◽  
Gokhan Koc ◽  
Cem Yucel ◽  
Mehmet Zeynel Keskin ◽  
Ahmet Ergin Capar ◽  
...  
Keyword(s):  
Renal Artery ◽  
Partial Nephrectomy ◽  
Macroscopic Hematuria ◽  
Artery Pseudoaneurysm ◽  
Open Partial Nephrectomy ◽  
Delayed Bleeding ◽  
Patient Morbidity ◽  
Renal Artery Pseudoaneurysm ◽  
Renal Artery Embolization ◽  
Computer Tomography Angiography

Introduction: Renal artery pseudoaneurysm is a well-described complication of open and laparoscopic partial nephrectomy. Delayed bleeding from a renal artery pseudoaneurysm is rare after open partial nephrectomy. Case description: Here, we present a 75-year-old man who, 14 days after undergoing an open right partial nephrectomy for an endophytic 4.5 cm tumor, developed painless macroscopic hematuria. Prompt computer tomography angiography imaging, followed by therapeutic angio-embolization of segmental renal artery with coils, treated the pseudoaneurysm successfully. Conclusion: Renal artery pseudoaneurysm can be treated rapidly, effectively, and with minimal patient morbidity via percutaneous renal artery embolization.

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