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The Natural History of Traumatic Branch Renal Artery Injury

1986; Lippincott Williams & Wilkins; Volume: 135; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(17)45591-1

1527-3792

John E. Bertini, Stuart M. Flechner, Priscilla Miller, Yoram Ben‐Menachem, Ronald P. Fischer,

Kidney Stones and Urolithiasis Treatments

No AccessJournal of Urology1 Feb 1986The Natural History of Traumatic Branch Renal Artery Injury John E. Bertini, Stuart M. Flechner, Priscilla Miller, Yoram Ben-Menachem, and Ronald P. Fischer John E. BertiniJohn E. Bertini More articles by this author , Stuart M. FlechnerStuart M. Flechner More articles by this author , Priscilla MillerPriscilla Miller More articles by this author , Yoram Ben-MenachemYoram Ben-Menachem More articles by this author , and Ronald P. FischerRonald P. Fischer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)45591-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Between 1979 and 1984, 24 patients with traumatic branch renal artery injuries documented by selective angiography were managed at our center. A total of 7 patients (29 per cent) died of nonurological organ system injury during the initial hospitalization. Of the remaining patients 10 were followed for 1 to 5 years after injury. None of these patients required immediate or delayed surgical intervention for complications, while 2 had hypertension after injury that resolved spontaneously by 1 year. The eventual renal function attained by these patients remained normal, the mean creatinine was 0.9 plus or minus 0.1mg. per dl. and there were no other urological complications. Patients who sustain branch renal artery injuries should be managed nonoperatively unless they exhibit cardiovascular instability. Excision of ischemic parenchyma is indicated only when intractable hypertension associated with increased renin secretion can be identified. © 1986 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byElliott S, Olweny E and McAninch J (2018) Renal Arterial Injuries: A Single Center Analysis of Management Strategies and OutcomesJournal of Urology, VOL. 178, NO. 6, (2451-2455), Online publication date: 1-Dec-2007.Herschorn S, Radomski S, Shoskes D, Mahoney J, Hirshberg E and Klotz L (2018) Evaluation and Treatment of Blunt Renal TraumaJournal of Urology, VOL. 146, NO. 2 Part 1, (274-276), Online publication date: 1-Aug-1991.Guerriero W (2018) Editorial CommentJournal of Urology, VOL. 146, NO. 2 Part 1, (276-277), Online publication date: 1-Aug-1991.McAninch J, Carroll P, Klosterman P, Dixon C and Greenblatt M (2018) Renal Reconstruction After InjuryJournal of Urology, VOL. 145, NO. 5, (932-937), Online publication date: 1-May-1991. (2018) Reply by Dr. A. S. Cass.Journal of Urology, VOL. 137, NO. 5, (1007-1007), Online publication date: 1-May-1987.Cass A and Luxenberg M (2018) Traumatic Thrombosis of a Segmental Branch of the Renal ArteryJournal of Urology, VOL. 137, NO. 6, (1115-1116), Online publication date: 1-Jun-1987. Volume 135Issue 2February 1986Page: 228-230 Advertisement Copyright & Permissions© 1986 by The American Urological Association Education and Research, Inc.MetricsAuthor Information John E. Bertini More articles by this author Stuart M. Flechner More articles by this author Priscilla Miller More articles by this author Yoram Ben-Menachem More articles by this author Ronald P. Fischer More articles by this author Expand All Advertisement PDF downloadLoading ...