Percutaneous repair of a disrupted left renal artery after rapid stabilization

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Irwin M. Best *
(*) Corresponding Author:
Irwin M. Best | imb@hotmail.com

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.

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Author Biography

Irwin M. Best, Emory University School of Medicine, Department of Radiology, Interventional Radiology, Atlanta, GA

MD

Radiology