Evaluation of need for angioembolization in blunt renal injury: discontinuity of Gerota's fascia has an increased probability of requiring angioembolization

Chih Yuan Fu, Shih Chi Wu, Ray Jade Chen, Yung Fang Chen, Yu Chun Wang, Ping Kuei Chung, Hung Chang Huang, Jui Chien Huang, Chih Wei Lu

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: Angioembolization is an effective adjunct in the management of high-grade renal injuries not surgically treated. However, in some cases, the bleeding may stop spontaneously, without the need for embolization. The aim of this study was to define the characteristics of patients who need angioembolization for high-grade blunt renal injuries (BRIs). Methods: Patients with BRIs between January 2004 and May 2008 were retrospectively reviewed. Patients with contrast extravasation on computed tomographic scans who then underwent angiography were enrolled. Demographics, injury severity scores, abbreviated injury scale scores, amounts of blood transfused, and need for angioembolization were analyzed. Results: Twenty-six patients were enrolled. Patients with discontinuity of Gerota's fascia and pararenal hematoma expansion in BRIs required angioembolization at a higher rate. Furthermore, these patients displayed higher injury severity scores and abbreviated injury scale scores. Five patients experienced complications. Conclusions: In patients with BRIs, discontinuity of Gerota's fascia and pararenal hematoma expansion seemed to be associated with the need for angioembolization. Early angioembolization should be considered in patients with severe associated trauma with BRIs.

Original languageEnglish
Pages (from-to)154-159
Number of pages6
JournalAmerican Journal of Surgery
Volume199
Issue number2
DOIs
Publication statusPublished - Feb 2010
Externally publishedYes

Keywords

  • Angioembolization
  • Blunt renal injury
  • Gerota's fascia

ASJC Scopus subject areas

  • Surgery

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