Early angiography improves postoperative clinical outcomes compared to delayed angiography among patients with vascular pathologies following partial nephrectomy.

ABSTRACT:

Purpose

This study aims to assess the evaluation, management, clinical outcomes and incidence of postoperative hematuria following partial nephrectomy (PNx) for renal tumors.

Methods

We retrospectively reviewed the medical charts of 936 adult patients who underwent PNx between 2008 and 2023. Patients presenting with hematuria during the first 6 months of surgery were included. Group 1, comprising patients who were treated with early angiography and selective embolization (n = 8), was compared to Group 2, patients who underwent imaging first (US or CTA), followed by angiography and selective embolization (n = 10, "delayed" angiography).

Results

24 (2.6%) patients presented with hematuria, 18 (75%) required angiography-assisted intervention. Of those 18 patients, 17 (94

SUBMITTER: Lasmanovich R 

PROVIDER: S-EPMC11920357 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature