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Profile of renal artery embolization (RAE) for renal trauma: A comparison of data from two major trauma center
Chen, Jie; Cai, Weicong; Li, Liping.
  • Chen, Jie; Shantou University. Medical College. Injury Prevention Research Center. Shantou. CN
  • Cai, Weicong; Shantou University. Medical College. Injury Prevention Research Center. Shantou. CN
  • Li, Liping; Shantou University. Medical College. Injury Prevention Research Center. Shantou. CN
Int. braz. j. urol ; 46(2): 194-202, Mar.-Apr. 2020. tab, graf
Article in English | LILACS | ID: biblio-1090584
ABSTRACT
ABSTRACT Objective To evaluate usage of renal artery embolization (RAE) for renal injuries and discuss the indications for this treatment. Materials and Methods A retrospective study was performed evaluating the electronic medical records of all patients with renal trauma admitted to two major comprehensive hospitals in Shantou city from January 2006 to December 2015. Results There were 264 and 304 renal traumatic patients admitted to hospital A and B, respectively. LGRT was the reason for presentation in the majority of patients (522, 91.9%). A total of 534 (94.0%) patients were treated conservatively. RAE was performed in 9 patients from 2012 to 2015 at hospital A, including in 6 patients (6/9, 66.7%) with LGRT, and 3 patients (3/9, 33.3%) with HGRT. No patient underwent interventional therapy (RAE) at hospital B during the same period. No significant differences in the operative rate of hospital A were observed between the two time periods (2006-2011 and 2012-2015). The operative rate for LGRT between the two hospitals from 2006 to 2011 and 2012 to 2015 was not significantly different. Hospital A showed a significant decrease in the rate of conservative treatment for patients with LGRT. In the univariate and multivariate analyses, the AAST renal grade both were significantly associated with undergoing RAE. Conclusions LGRT was present in the majority of patients, and most cases of renal trauma could be treated with conservative treatment. RAE was well utilized for the treatment of renal trauma. However, some patients with LGRT were treated with unnecessary interventional therapy.
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Full text: Available Index: LILACS (Americas) Main subject: Renal Artery / Embolization, Therapeutic / Kidney / Kidney Diseases Type of study: Etiology study / Observational study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: China Institution/Affiliation country: Shantou University/CN

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Full text: Available Index: LILACS (Americas) Main subject: Renal Artery / Embolization, Therapeutic / Kidney / Kidney Diseases Type of study: Etiology study / Observational study / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: China Institution/Affiliation country: Shantou University/CN