Open Partial Nephrectomy for High-Risk Renal Masses Is Associated with Renal Pseudoaneurysms: Assessment of a Severe Procedure-Related Complication
المؤلفون المشاركون
Kriegmair, M. C.
Mandel, P.
Rathmann, N.
Diehl, S. J.
Pfalzgraf, D.
Ritter, M.
المصدر
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-10-11
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Objectives.
A symptomatic renal pseudoaneurysm (RPA) is a severe complication after open partial nephrectomy (OPN).
The aim of our study was to assess incidence and risk factors for RPA formation.
Furthermore, we present our management strategy.
Patients and Methods.
Clinical records of consecutive patients undergoing OPN were assessed for surgical outcome and postoperative complications.
Renal masses were risk stratified for tumor complexity according to the PADUA score.
Uni- and multivariate analysis for symptomatic RPAs were performed using the t -tests and logistic regression.
Results.
We identified 233 patients treated with OPN.
Symptomatic RPAs were observed in 13 (5.6%) patients, on average 14 (4–42) days after surgery.
Uni- and multivariate analysis identified tumor complexity to be an independent predictor for symptomatic RPAs ( p = 0.004 ).
There was a significant correlation between RPAs and transfusion and the duration of stay ( p < 0.001 and p = 0.021 ).
Symptomatic RPAs were diagnosed with CT scans and successfully treated with arterial embolization.
Discussion.
Symptomatic RPAs are not uncommon after OPN for high-risk renal masses.
A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup.
RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kriegmair, M. C.& Mandel, P.& Rathmann, N.& Diehl, S. J.& Pfalzgraf, D.& Ritter, M.. 2015. Open Partial Nephrectomy for High-Risk Renal Masses Is Associated with Renal Pseudoaneurysms: Assessment of a Severe Procedure-Related Complication. BioMed Research International،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1057472
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kriegmair, M. C.…[et al.]. Open Partial Nephrectomy for High-Risk Renal Masses Is Associated with Renal Pseudoaneurysms: Assessment of a Severe Procedure-Related Complication. BioMed Research International No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1057472
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kriegmair, M. C.& Mandel, P.& Rathmann, N.& Diehl, S. J.& Pfalzgraf, D.& Ritter, M.. Open Partial Nephrectomy for High-Risk Renal Masses Is Associated with Renal Pseudoaneurysms: Assessment of a Severe Procedure-Related Complication. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1057472
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1057472
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر