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Safety and efficacy of Endovascular Management of high-grade blunt renal injury
OBJECTIVES: To provide data on the safety and efficacy of renal arterial embolization (RAE) in patients with high-grade blunt renal injury. MATERIALS AND METHODS: Fifteen patients with high-grade blunt renal injury (AAST grades IV-V) admitted to our hospital from July 2014 to December 2019 were retr...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shanghai Journal of Interventional Radiology Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947991/ https://www.ncbi.nlm.nih.gov/pubmed/35586283 http://dx.doi.org/10.1016/j.jimed.2021.12.003 |
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author | Wang, Bin Wen, Chongpei Song, Songlin Li, Guilian Yan, Yanggang Cheng, Shoucai Zeng, Junmei Lin, Zhidong Wang, Yong |
author_facet | Wang, Bin Wen, Chongpei Song, Songlin Li, Guilian Yan, Yanggang Cheng, Shoucai Zeng, Junmei Lin, Zhidong Wang, Yong |
author_sort | Wang, Bin |
collection | PubMed |
description | OBJECTIVES: To provide data on the safety and efficacy of renal arterial embolization (RAE) in patients with high-grade blunt renal injury. MATERIALS AND METHODS: Fifteen patients with high-grade blunt renal injury (AAST grades IV-V) admitted to our hospital from July 2014 to December 2019 were retrospectively reviewed in this study. Their clinical success rate and complications were investigated accordingly. RESULTS: Fifteen patients with high-grade blunt renal injury, 13 men and 2 women with an average age of 41.6 years, including 11 hemodynamically unstable patients and 4 stable patients, were treated with RAE. Among these patients, 73.3% (11 of 15) had grade IV, and 26.7% (4 of 15) had grade V injuries, while 53.3% (8 of 15) patients had concomitant injuries. One patient received main RAE and 14 patients received selective RAE. The clinical success rate after the first embolization was 93.3% (14 of 15). RAE was repeated and was successfully performed in one patient with sustained hematuria. No significant difference in creatinine levels was found before and after embolization. During the follow-up period of 2–82 months, two patients required tube drainage due to urine leaks, one patient developed renal failure requiring renal replacement therapy, and one patient developed secondary hypertension. CONCLUSIONS: RAE can provide a high success rate of hemostasis for both hemodynamically stable and unstable patients with high-grade blunt renal injury, and only minor complications are observed with this procedure. |
format | Online Article Text |
id | pubmed-8947991 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Shanghai Journal of Interventional Radiology Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-89479912022-05-17 Safety and efficacy of Endovascular Management of high-grade blunt renal injury Wang, Bin Wen, Chongpei Song, Songlin Li, Guilian Yan, Yanggang Cheng, Shoucai Zeng, Junmei Lin, Zhidong Wang, Yong J Interv Med Article OBJECTIVES: To provide data on the safety and efficacy of renal arterial embolization (RAE) in patients with high-grade blunt renal injury. MATERIALS AND METHODS: Fifteen patients with high-grade blunt renal injury (AAST grades IV-V) admitted to our hospital from July 2014 to December 2019 were retrospectively reviewed in this study. Their clinical success rate and complications were investigated accordingly. RESULTS: Fifteen patients with high-grade blunt renal injury, 13 men and 2 women with an average age of 41.6 years, including 11 hemodynamically unstable patients and 4 stable patients, were treated with RAE. Among these patients, 73.3% (11 of 15) had grade IV, and 26.7% (4 of 15) had grade V injuries, while 53.3% (8 of 15) patients had concomitant injuries. One patient received main RAE and 14 patients received selective RAE. The clinical success rate after the first embolization was 93.3% (14 of 15). RAE was repeated and was successfully performed in one patient with sustained hematuria. No significant difference in creatinine levels was found before and after embolization. During the follow-up period of 2–82 months, two patients required tube drainage due to urine leaks, one patient developed renal failure requiring renal replacement therapy, and one patient developed secondary hypertension. CONCLUSIONS: RAE can provide a high success rate of hemostasis for both hemodynamically stable and unstable patients with high-grade blunt renal injury, and only minor complications are observed with this procedure. Shanghai Journal of Interventional Radiology Press 2022-02-26 /pmc/articles/PMC8947991/ /pubmed/35586283 http://dx.doi.org/10.1016/j.jimed.2021.12.003 Text en © 2021 Shanghai Journal of Interventional Radiology Press. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Wang, Bin Wen, Chongpei Song, Songlin Li, Guilian Yan, Yanggang Cheng, Shoucai Zeng, Junmei Lin, Zhidong Wang, Yong Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title | Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title_full | Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title_fullStr | Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title_full_unstemmed | Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title_short | Safety and efficacy of Endovascular Management of high-grade blunt renal injury |
title_sort | safety and efficacy of endovascular management of high-grade blunt renal injury |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947991/ https://www.ncbi.nlm.nih.gov/pubmed/35586283 http://dx.doi.org/10.1016/j.jimed.2021.12.003 |
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