Impact of Superselective Renal Artery Embolization on Renal Function and Blood Pressure
| Autor: | Yong Jae Kim, Dongho Hyun, Nam Hun Heo, Woong Hee Lee, Seung Boo Yang, Dong Erk Goo, Hyoung Nam Lee |
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| Rok vydání: | 2020 |
| Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty hypertension medicine.medical_treatment lcsh:R895-920 renal artery embolization therapeutic acute kidney injury renal insufficiency chronic Renal function urologic and male genital diseases 030218 nuclear medicine & medical imaging 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.artery medicine Radiology Nuclear Medicine and imaging Embolization Renal artery Creatinine business.industry Incidence (epidemiology) Acute kidney injury medicine.disease Surgery Blood pressure chemistry 030220 oncology & carcinogenesis Original Article business Kidney disease |
| Zdroj: | Journal of the Belgian Society of Radiology Journal of the Belgian Society of Radiology; Vol 104, No 1 (2020); 59 Journal of the Belgian Society of Radiology, Vol 104, Iss 1 (2020) |
| ISSN: | 2514-8281 |
| Popis: | Objectives: To evaluate the effect of superselective renal artery embolization in terms of renal function and blood pressure, to compare the results between groups with different embolization extents, and to analyze risk factors of entire study population for postprocedural acute kidney injury (AKI). Materials and Methods: The inclusion criteria were patients who underwent renal artery embolization from January 2009 to December 2019, with available serum creatinine and blood pressure data. The exclusion criteria were non-selective embolization of main renal artery, AKI before embolotherapy, and follow-up of less than one month. According to the extent of embolization, the patients were divided into two groups: Group A (1 segment) and Group B (2–4 segments). Results: A total of 48 patients were enrolled. There was a significant difference between pre- and postprocedural estimated glomerular filtration rate ('p' = 0.030). There were no significant difference between pre- and postprocedural blood pressure. The incidence of postprocedural AKI in group B was significantly higher than that in group A ('p' = 0.044). There was no significant difference in the incidence of the worsening of hypertension between the two groups. Chronic kidney disease and high embolization grade were predictive for postprocedural AKI ('p' = 0.012, 0.021). Conclusion: Superselective embolization appears to be a safe procedure, but meticulous attention for AKI is required for patients who underwent embolization of more than one segmental artery. An attempt to minimize the extent of devascularization should be pursued to avoid postprocedural complications. |
| Databáze: | OpenAIRE |
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