On March 8, information from Can Tho Central General Hospital said that the hospital's doctors had just successfully performed an embolization intervention on a grade 4 kidney injury with a very large renal artery pseudoaneurysm.
Patient named TVC, 39 years old, living in Bac Lieu , about 1 month ago, the patient fell from a height but did not go for a check-up. Until more than 1 week before being hospitalized, the patient had blood in the urine, frequent urination, and pain. He was admitted to a local hospital for treatment and then transferred to Can Tho Central General Hospital.
Images of patient's kidney damage before and after embolization intervention
PHOTO: DT
The examination results showed that the patient had right renal pelvis hydrocele, right kidney injury, blood in the bladder, and a right renal artery pseudoaneurysm measuring 65x48 mm. The patient was indicated for angiography and endovascular intervention, a minimally invasive treatment method.
The intervention was performed by specialist doctor 2 Tran Cong Khanh, Deputy Head of the Department of Diagnostic Imaging, Can Tho Central General Hospital and his team.
The team found a large pseudoaneurysm of the lower right renal artery with strong flow; and selectively inserted a microcatheter into the artery branch with the pseudoaneurysm. This was a very difficult intervention because it required the release of 4 coils and the embolization with a glue mixture. The procedure was successful after about 1 hour. During the treatment, the patient was transfused with 3 units of packed red blood cells. Currently, the patient is awake, has good contact, stable vital signs, reduced abdominal and flank pain, and clear urine.
Sharing more about the above injury, specialist doctor 2 Truong Minh Khoa, Deputy Head of the Department of Nephrology and Urology, Can Tho Central General Hospital informed that in the past, the treatment of severe kidney injuries was mainly open surgery to remove part or all of the kidney. Nowadays, there are many changes in the conservative treatment of kidney injuries in general and in endovascular intervention treatment in particular.
The team of specialist doctor Tran Cong Khanh performed vascular intervention for the patient.
PHOTO: DT
In patients with renal trauma, the choice between surgery or embolization depends on the patient's condition and the conditions of the hospital's intervention center. In patients with hemodynamic instability and multiple trauma, emergency laparotomy is required to find the cause of bleeding and sometimes nephrectomy to stop the bleeding. Meanwhile, in cases of multiple trauma, other bleeding injuries have been controlled, the accompanying renal injury can be treated with embolization intervention after the patient is stable to preserve the renal parenchyma.
According to Dr. Khoa, endovascular intervention has also been performed in many specialties and by many different teams at the same time to handle emergency cases such as: nosebleeds, stroke emergency, treatment of ruptured cerebral vascular malformations, removal of blood clots due to large blood vessel occlusion, angioplasty and stent placement in emergency coronary artery disease, treatment of liver, spleen, kidney injuries, embolization in hemoptysis, gastrointestinal bleeding due to vascular malformations... "Actual records at the hospital show that endovascular intervention not only brings high treatment efficiency but is also minimally invasive, helping patients recover quickly. Up to now, many severe and critical patients have been saved by the above endovascular intervention technique," said Dr. Khoa.
Source: https://thanhnien.vn/bi-nga-hon-1-thang-tieu-ra-mau-moi-phat-hien-chan-thuong-than-rat-nang-185250307211320683.htm
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