Percutaneous repair of a disrupted left renal artery after rapid stabilization
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 ac...
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| Format: | Article |
| Language: | English |
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MDPI AG
2011-11-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/293 |
| Summary: | 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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| ISSN: | 2039-7275 2039-7283 |