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Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms: assessment of a severe procedure-related complication
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| Veröffentlicht in: | BioMed research international (2015) Article ID e981251, 7 Seiten |
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| Personen und Körperschaften: | , , , , |
| Titel: | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms: assessment of a severe procedure-related complication/ M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter |
| Format: | E-Book-Kapitel |
| Sprache: | Englisch |
| veröffentlicht: |
2015
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| Gesamtaufnahme: |
: BioMed research international, (2015) Article ID e981251, 7 Seiten
, year:2015 |
| Quelle: | Verbunddaten SWB Lizenzfreie Online-Ressourcen |
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| 245 | 1 | 0 | |a Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms |b assessment of a severe procedure-related complication |c M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter |
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| 520 | |a Objectives. A symptomatic renal pseudoaneurysm (RPA) is a severe complication after open partial nephrectomy (OPN). The aim of our study was to assess incidence and risk factors for RPA formation. Furthermore, we present our management strategy. Patients and Methods. Clinical records of consecutive patients undergoing OPN were assessed for surgical outcome and postoperative complications. Renal masses were risk stratified for tumor complexity according to the PADUA score. Uni- and multivariate analysis for symptomatic RPAs were performed using the -tests and logistic regression. Results. We identified 233 patients treated with OPN. Symptomatic RPAs were observed in 13 (5.6%) patients, on average 14 (4-42) days after surgery. Uni- and multivariate analysis identified tumor complexity to be an independent predictor for symptomatic RPAs (). There was a significant correlation between RPAs and transfusion and the duration of stay ( and ). Symptomatic RPAs were diagnosed with CT scans and successfully treated with arterial embolization. Discussion. Symptomatic RPAs are not uncommon after OPN for high-risk renal masses. A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup. RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment. | ||
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| 900 | |a Pfalzgraf, D. | ||
| 900 | |a Rathmann, Nils | ||
| 900 | |a Rathmann, N. | ||
| 900 | |a Kriegmair, Maximilian Christian | ||
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| author | Kriegmair, Maximilian, Rathmann, Nils-Andreas, Diehl, Steffen J., Pfalzgraf, Daniel Philipp, Ritter, Manuel |
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| contents | Objectives. A symptomatic renal pseudoaneurysm (RPA) is a severe complication after open partial nephrectomy (OPN). The aim of our study was to assess incidence and risk factors for RPA formation. Furthermore, we present our management strategy. Patients and Methods. Clinical records of consecutive patients undergoing OPN were assessed for surgical outcome and postoperative complications. Renal masses were risk stratified for tumor complexity according to the PADUA score. Uni- and multivariate analysis for symptomatic RPAs were performed using the -tests and logistic regression. Results. We identified 233 patients treated with OPN. Symptomatic RPAs were observed in 13 (5.6%) patients, on average 14 (4-42) days after surgery. Uni- and multivariate analysis identified tumor complexity to be an independent predictor for symptomatic RPAs (). There was a significant correlation between RPAs and transfusion and the duration of stay ( and ). Symptomatic RPAs were diagnosed with CT scans and successfully treated with arterial embolization. Discussion. Symptomatic RPAs are not uncommon after OPN for high-risk renal masses. A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup. RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment. |
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| spelling | Kriegmair, Maximilian 1987- VerfasserIn (DE-588)1049742745 (DE-627)782573347 (DE-576)403726840 aut, Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure-related complication M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter, 2015, 7, Text txt rdacontent, Computermedien c rdamedia, Online-Ressource cr rdacarrier, Gesehen am 30.05.2017, Objectives. A symptomatic renal pseudoaneurysm (RPA) is a severe complication after open partial nephrectomy (OPN). The aim of our study was to assess incidence and risk factors for RPA formation. Furthermore, we present our management strategy. Patients and Methods. Clinical records of consecutive patients undergoing OPN were assessed for surgical outcome and postoperative complications. Renal masses were risk stratified for tumor complexity according to the PADUA score. Uni- and multivariate analysis for symptomatic RPAs were performed using the -tests and logistic regression. Results. We identified 233 patients treated with OPN. Symptomatic RPAs were observed in 13 (5.6%) patients, on average 14 (4-42) days after surgery. Uni- and multivariate analysis identified tumor complexity to be an independent predictor for symptomatic RPAs (). There was a significant correlation between RPAs and transfusion and the duration of stay ( and ). Symptomatic RPAs were diagnosed with CT scans and successfully treated with arterial embolization. Discussion. Symptomatic RPAs are not uncommon after OPN for high-risk renal masses. A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup. RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment., Rathmann, Nils-Andreas 1982- VerfasserIn (DE-588)140996923 (DE-627)703853538 (DE-576)321542940 aut, Diehl, Steffen J. VerfasserIn (DE-588)1020240881 (DE-627)691154120 (DE-576)359785522 aut, Pfalzgraf, Daniel Philipp 1979- VerfasserIn (DE-588)132763664 (DE-627)526921579 (DE-576)299396908 aut, Ritter, Manuel 1979- VerfasserIn (DE-588)1030329915 (DE-627)73508436X (DE-576)378128256 aut, Enthalten in BioMed research international New York [u.a.] : Hindawi, 2013 (2015) Article ID e981251, 7 Seiten Online-Ressource (DE-627)734738145 (DE-600)2698540-8 (DE-576)377910473 2314-6141 nnns, year:2015 pages:e981251 extent:7, http://dx.doi.org/10.1155/2015/981251 Verlag Resolving-System kostenfrei Volltext, https://www.hindawi.com/journals/bmri/2015/981251/abs/ Verlag kostenfrei Volltext, http://dx.doi.org/10.1155/2015/981251 LFER, LFER 2017-06-08T00:00:00Z |
| spellingShingle | Kriegmair, Maximilian, Rathmann, Nils-Andreas, Diehl, Steffen J., Pfalzgraf, Daniel Philipp, Ritter, Manuel, Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms: assessment of a severe procedure-related complication, Objectives. A symptomatic renal pseudoaneurysm (RPA) is a severe complication after open partial nephrectomy (OPN). The aim of our study was to assess incidence and risk factors for RPA formation. Furthermore, we present our management strategy. Patients and Methods. Clinical records of consecutive patients undergoing OPN were assessed for surgical outcome and postoperative complications. Renal masses were risk stratified for tumor complexity according to the PADUA score. Uni- and multivariate analysis for symptomatic RPAs were performed using the -tests and logistic regression. Results. We identified 233 patients treated with OPN. Symptomatic RPAs were observed in 13 (5.6%) patients, on average 14 (4-42) days after surgery. Uni- and multivariate analysis identified tumor complexity to be an independent predictor for symptomatic RPAs (). There was a significant correlation between RPAs and transfusion and the duration of stay ( and ). Symptomatic RPAs were diagnosed with CT scans and successfully treated with arterial embolization. Discussion. Symptomatic RPAs are not uncommon after OPN for high-risk renal masses. A high nephrometry score is a predictor for this severe complication and may enable a risk-stratified followup. RPAs can successfully be located by CT angiography, which enables targeted angiographic treatment. |
| swb_id_str | 489129161 |
| title | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms: assessment of a severe procedure-related complication |
| title_auth | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure-related complication |
| title_full | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure-related complication M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter |
| title_fullStr | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure-related complication M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter |
| title_full_unstemmed | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure-related complication M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter |
| title_in_hierarchy | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms: assessment of a severe procedure-related complication / M.C. Kriegmair, P. Mandel, N. Rathmann, S.J. Diehl, D. Pfalzgraf, M. Ritter, |
| title_short | Open partial nephrectomy for high-risk renal masses is associated with renal pseudoaneurysms |
| title_sort | open partial nephrectomy for high risk renal masses is associated with renal pseudoaneurysms assessment of a severe procedure related complication |
| title_sub | assessment of a severe procedure-related complication |
| url | http://dx.doi.org/10.1155/2015/981251, https://www.hindawi.com/journals/bmri/2015/981251/abs/ |