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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...

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Autores principales: Wang, Bin, Wen, Chongpei, Song, Songlin, Li, Guilian, Yan, Yanggang, Cheng, Shoucai, Zeng, Junmei, Lin, Zhidong, Wang, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shanghai Journal of Interventional Radiology Press 2022
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.
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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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