Renal embolization for trauma: a narrative review

Renal injuries commonly occur in association with blunt trauma, especially in the setting of motorvehicle accidents. Contrast-enhanced computed tomography is considered the gold-standard imagingmodality to assess patients for renal injuries in the setting of blunt and penetrating trauma, andto help...

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Bibliographic Details
Published inDaehan oe'sang haghoeji Vol. 37; no. 3; pp. 171 - 181
Main Authors Lee, Peter, Roh, Simon
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Society of Traumatology 01.09.2024
Korean Society of Traumatology
대한외상학회
Subjects
angiography
kidney
Review
therapeutic embolization
wound and injuries
의학일반
Wound and injuries
Therapeutic embolization
Angiography
Kidney
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Summary:Renal injuries commonly occur in association with blunt trauma, especially in the setting of motorvehicle accidents. Contrast-enhanced computed tomography is considered the gold-standard imagingmodality to assess patients for renal injuries in the setting of blunt and penetrating trauma, andto help classify injuries based on the American Association for the Surgery of Trauma injury scoringscale. The management of renal trauma has evolved in the past several decades, with a notable shifttowards a more conservative, nonoperative approach. Advancements in imaging and interventionalradiological techniques have enabled diagnostic angiography with angiographic catheter-directedembolization to become a viable option, making it possible to avoid surgical interventions that posean increased risk of nephrectomy. This review describes the current management of renal trauma,with an emphasis on renal artery embolization techniques.
ISSN:2799-4317
2287-1683
DOI:10.20408/jti.2024.0021