Stručni rad
https://doi.org/10.20471/acc.2023.62.s2.23
The Role of Interventional Radiologists in the Treatment of Complications in Urologic Patients
Vjekoslav Kopačin
orcid.org/0000-0002-3854-6602
; Department of Diagnostic and Interventional Radiology, Osijek University Hospital Center. Osijek, Croatia; Department of Radiology, Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Tajana Turk
orcid.org/0000-0003-1535-1359
; Department of Diagnostic and Interventional Radiology, Osijek University Hospital Center. Osijek, Croatia; Department of Radiology, Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Oliver Pavlović
orcid.org/0000-0003-4571-3197
; Department of Urology, Osijek University Hospital Center, Osijek, Croatia; Department of Surgery, Urology, Orthopedics and Physical and Rehabilitation Medicine, Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Josip Perković
; Department of Urology, Osijek University Hospital Center, Osijek, Croatia; Department of Surgery, Urology, Orthopedics and Physical and Rehabilitation Medicine, Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Vinko Krajina
; Department of Urology, Osijek University Hospital Center, Osijek, Croatia; Department of Surgery, Urology, Orthopedics and Physical and Rehabilitation Medicine, Osijek Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Deni Pavoković
; Department of Urology, Osijek University Hospital Center, Osijek, Croatia
Sažetak
Higher turnaround of urologic patients in the tertiary clinical center can lead to
more accompanying complications, ranging from 1% to 55% for various procedures, with the incidence
of vascular injuries varying from 0.43% up to 9.5%. In patients with impaired renal function, it is imperative
to prevent the loss of normal kidney function and potential hemodialysis. Being minimally invasive,
endovascular procedures such as renal artery embolization (RAE) can treat major and life-threatening
complications, but good and prompt communication between urologists and interventional radiologist is
necessary for fast and effective treatment. Absolute contraindications for RAE are the presence of acute
infection and previously known anaphylactic reaction to the iodine contrast media, while previous mild
or moderate allergic reactions to iodine contrast media are not contraindications for RAE. Currently
used embolic agents can be divided into temporary and permanent embolization agents. While the
temporary embolization agent available is a gelatin sponge that could be used as complementary material
or stand-alone, for permanent embolization interventional radiologists use microparticles, microspheres,
liquid embolic agents, coils, and microcoils. RAE procedures are considered to be safe with a low incidence
of complications, with non-target embolization being the most serious one. Postembolization
syndrome is considered to be the most common adverse effect and it involves around 90% of patients.
The overall results show that RAE is a safe, minimally invasive procedure that can effectively treat significant
complications caused by other urologic procedures, with the reported success rates of 87%-100%.
Ključne riječi
Urologic procedures, complications; Iatrogenic kidney injuries; Endovascular procedures; Renal artery embolization
Hrčak ID:
310135
URI
Datum izdavanja:
31.7.2023.
Posjeta: 198 *