Journal article
Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)
Urology (Ridgewood, N.J.), Vol.148, pp.287-291
02/2021
DOI: 10.1016/j.urology.2020.10.027
PMID: 33129870
Abstract
To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma.
Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy.
A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan.
Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.
Details
- Title: Subtitle
- Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)
- Creators
- Manuel Armas-Phan - University of California, San FranciscoSorena Keihani - University of UtahNnenaya Agochukwu-Mmonu - University of California, San FranciscoAndrew J Cohen - University of California, San FranciscoDouglas M Rogers - University of UtahSherry S Wang - University of UtahJoel A Gross - Harborview Medical CenterRyan P Joyce - Harborview Medical CenterJudith C Hagedorn - Harborview Medical CenterBryan Voelzke - Spokane Urology, Spokane, WA.Rachel A Moses - Dartmouth–Hitchcock Medical CenterRachel L Sensenig - Cooper University HospitalJ Patrick Selph - University of Alabama at BirminghamShubham Gupta - Case Western Reserve UniversityNima Baradaran - The Ohio State University Wexner Medical CenterBradley A Erickson - University of IowaIan Schwartz - University of MinnesotaSean P Elliott - University of MinnesotaKaushik Mukherjee - Loma Linda University Medical CenterBrian P Smith - Hospital of the University of PennsylvaniaRichard A Santucci - The Crane Center for Transgender Surgery; Austin, TX.Frank N Burks - Oakland UniversityChristopher M Dodgion - Medical College of WisconsinMatthew M Carrick - Department of Surgery, Medical City Plano, Plano, TX.Reza Askari - Brigham and Women's HospitalSarah Majercik - Intermountain Medical CenterRaminder Nirula - University of UtahJeremy B Myers - University of UtahBenjamin N Breyer - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.148, pp.287-291
- DOI
- 10.1016/j.urology.2020.10.027
- PMID
- 33129870
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Grant note
- DOI: 10.13039/100006108, name: National Center for Advancing Translational Sciences, award: TL1 TR001871; DOI: 10.13039/100000002, name: National Institutes of Health
- Language
- English
- Date published
- 02/2021
- Academic Unit
- Urology
- Record Identifier
- 9984320061002771
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