Percutaneous repair of a disrupted left renal artery after rapid stabilization

  • Irwin M. Best | imb@hotmail.com Emory University School of Medicine, Department of Radiology, Interventional Radiology, Atlanta, GA, United States.

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

Published
2011-11-10
Section
Case Reports
Keywords:
percutaneous renal artery repair, traumatic disruption of renal artery, stent graft repair of disrupted renal artery.
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How to Cite
Best, I. (2011). Percutaneous repair of a disrupted left renal artery after rapid stabilization. Clinics and Practice, 1(4), e116. https://doi.org/10.4081/cp.2011.e116