Toussi H, McConnell C, Srinivasan V
Department of Urology, Glan Clwyd Hospital, Bodelwyddan, Denbighshire, United Kingdom.
J Urol. 2001 Apr;165(4):1162-4.
We demonstrate safety of renal artery embolization as an alternative to nephrectomy in symptomatic patients with obstructed, poorly functioning kidneys who are unfit for surgery.
We performed renal artery embolization in 2 medically unfit patients with benign obstructive uropathy and poorly functioning kidneys. The affected kidney was initially drained with a nephrostomy tube and the kidney was then selectively embolized using absorbable gelatin sponge particles and Gianturco coils. The nephrostomy tube was removed before hospital discharge.
Urine production by the affected kidney ceased and symptoms resolved.
Renal artery embolization with antegrade drainage is a safe alternative to surgery in unfit symptomatic patients with benign obstructive uropathy and poorly functioning kidneys.
我们证明了对于有症状的、肾脏梗阻且功能不佳、不适合手术的患者，肾动脉栓塞作为肾切除术的替代方法的安全性。
我们对2例因良性梗阻性肾病导致肾脏功能不佳且身体状况不佳的患者进行了肾动脉栓塞术。首先用肾造瘘管引流患肾，然后使用可吸收明胶海绵颗粒和弹簧圈对肾脏进行选择性栓塞。在出院前拔除肾造瘘管。
患肾停止产生尿液，症状得到缓解。
对于有症状的、因良性梗阻性肾病导致肾脏功能不佳且身体状况不佳的患者，顺行引流的肾动脉栓塞术是一种安全的手术替代方法。
