Traumatic kidney injuries: A systematic review and meta-analysis

Petrone, Patrizio; Pérez‐Calvo, Javier; Brathwaite, Collin E.; Islam, Shahidul; Joseph, D’Andrea

doi:10.1016/j.ijsu.2019.12.013

Cited by 33 publications

(28 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings are consistent with latest guidelines since hemodynamic stability is the main criterion for non-operative management of kidney trauma [ 27 – 31 ]. Angioembolization has a key role in the non-operative management, but no validated criteria to predict RAE efficacy are available in the current literature and its practice remains heterogeneous in blunt renal injuries [ 23 , 32 ]. We analysed contemporary published articles of patients undergoing RAE for blunt renal trauma.…”

Section: Discussionmentioning

confidence: 99%

The role of angioembolization in the management of blunt renal injuries: a systematic review

et al. 2021

View full text Add to dashboard Cite

Background Recently, renal angioembolization (RAE) has gained an important role in the non-operative management (NOM) of moderate to high-grade blunt renal injuries (BRI), but its use remains heterogeneous. The aim of this review is to examine the current literature on indications and outcomes of angioembolization in BRI. Methods We conducted a search of MEDLINE, EMBASE, SCOPUS and Web of Science Databases up to February 2021 in accordance with PRISMA guidelines for studies on BRI treated with RAE. The methodological quality of eligible studies and their risk of bias was assessed using the Newcastle–Ottawa scale Results A total of 16 articles that investigated angioembolization of blunt renal injury were included in the study. Overall, 412 patients were included: 8 presented with grade II renal trauma (2%), 97 with grade III renal trauma (23%); 225 with grade IV (55%); and 82 with grade V (20%). RAE was successful in 92% of grade III–IV (294/322) and 76% of grade V (63/82). Regarding haemodynamic status, success rate was achieved in 90% (312/346) of stable patients, but only in 63% (42/66) of unstable patients. The most common indication for RAE was active contrast extravasation in hemodynamic stable patients with grade III or IV BRI. Conclusions This is the first review assessing outcomes and indication of angioembolization in blunt renal injuries. The results suggest that outcomes are excellent in hemodynamic stable, moderate to high-grade renal trauma.

show abstract

Section: Discussionmentioning

confidence: 99%

The role of angioembolization in the management of blunt renal injuries: a systematic review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…A partial nephrectomy may be necessary when the renal tissue is unviable. In the lack of possibility to preserve the renal tissue, total nephrectomy should be beneficial [7] , [8] . Moreover, nephrectomy is a primary treatment for malignant tumors [5] .…”

Section: Clinical Discussionmentioning

confidence: 99%

Spontaneous renal cyst rupture in a female patient: A case report

Sugianto

Tirtayasa

Samuel³

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…Approximately 1-3% of all trauma patients have renal injury (1,2). Eighty percent of renal trauma is due to blunt injury (1).…”

Section: Introductionmentioning

confidence: 99%

“…Adaptation of the AAST renal injury grading system, with an emphasis on CT findings. Prior studies have reported that approximately 28-32% of renal injuries are grade I, 16-26% grade II, 19-22% grade III, 18-25% grade IV, and 4-9% grade V(2,12) …”

mentioning

confidence: 99%

Endovascular embolization in renal trauma: a narrative review

Smith¹,

Eastaway²,

Hartt³

et al. 2021

Ann Transl Med

View full text Add to dashboard Cite

Approximately 1-3% of all trauma patients have a renal injury. Eighty percent of renal trauma is due to blunt injury, with the remainder due to penetrating trauma which is most often iatrogenic. Contrast enhanced computed tomography is used to triage patients and offers a quick and accurate assessment of any potential organ injury. If injury is present, The American Association for the Surgery of Trauma grading system can both grade renal injuries and be used to help guide management and intervention. Grades are assigned based on imaging and clinical features of renal trauma, and have prognostic and treatment implications for patients. The objective of this narrative review is to identify optimal management of patients with renal trauma, specifically which patients can be treated with endovascular interventions following renal trauma, which can be observed, and which would be best managed surgically. For hemodynamically stable patients with renal trauma, endovascular angiography and embolization is a non-invasive approach that can be used to control bleeding and potentially avoid surgery or nephrectomy in select cases. Future research is needed to determine if a specific antibiotic regimen is needed prior to or following embolization. Further research is needed to evaluate the effectiveness of endovascular management of high-grade renal trauma (grade V). Complications of renal embolization include short-term hypertension, long term hypertension in cases of significant ischemia, acute kidney injury, and infection.

show abstract

Traumatic kidney injuries: A systematic review and meta-analysis

Cited by 33 publications

References 64 publications

The role of angioembolization in the management of blunt renal injuries: a systematic review

The role of angioembolization in the management of blunt renal injuries: a systematic review

Spontaneous renal cyst rupture in a female patient: A case report

Endovascular embolization in renal trauma: a narrative review

Contact Info

Product

Resources

About