14 INDICATIONS AND CLINICAL OUTCOMES OF TAE IN PATIENTS WITH BLUNT DEEP RENAL INJURY

Abstract

You have accessJournal of UrologyTrauma/Reconstruction: Traum & Reconstructive Surgery (1)1 Apr 201314 INDICATIONS AND CLINICAL OUTCOMES OF TAE IN PATIENTS WITH BLUNT DEEP RENAL INJURY Masato Yanagi, Go Kimura, Jun Akatsuka, Yukihiro Kondo, Yuki Endo, Taiji Nishimura, Kimiyoshi Mizunuma, Masatoku Arai, Hiroyuki Yokota, Ken Nakazawa, Satoru Murata, and Shinichiro Kumita Masato YanagiMasato Yanagi Tokyo, Japan More articles by this author , Go KimuraGo Kimura Tokyo, Japan More articles by this author , Jun AkatsukaJun Akatsuka Tokyo, Japan More articles by this author , Yukihiro KondoYukihiro Kondo Tokyo, Japan More articles by this author , Yuki EndoYuki Endo Tochigi, Japan More articles by this author , Taiji NishimuraTaiji Nishimura Tochigi, Japan More articles by this author , Kimiyoshi MizunumaKimiyoshi Mizunuma Tochigi, Japan More articles by this author , Masatoku AraiMasatoku Arai Tokyo, Japan More articles by this author , Hiroyuki YokotaHiroyuki Yokota Tokyo, Japan More articles by this author , Ken NakazawaKen Nakazawa Tokyo, Japan More articles by this author , Satoru MurataSatoru Murata Tokyo, Japan More articles by this author , and Shinichiro KumitaShinichiro Kumita Tokyo, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1388AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We retrospectively investigated the cases of the blunt deep renal injury and evaluated usefulness of transcatheter arterial embolization (TAE). METHODS We reviewed the records of patients with blunt deep renal injury who were treated in the critical care center of Nippon Medical School (NMS) Hospital and Ohtawara Red Cross (ORC) Hospital. The treatment modes and their outcomes were investigated. RESULTS We found 26 cases of blunt deep renal injury. 14 in NMS from 2001 to 2011 and 12 in ORC from 2001 to 2009. Average age of patients was 45 (17-87). Six were women and 20 were men. As for the treatment modes, bed rest was 3 cases, TAE in 16 and laparotomy in 4. And 3 patients were nearly dead on arrival. Ten of 26 patients died, but not solely due to the renal injury. Seven of the 10 patients were in shock at arrival and did not respond to fluid resuscitation. Of these 7 patients, three patients were treated with TAE for renal injury, but they died of life-threating concomitant injury: two severe head injury, and one severe pelvic fracture and severe spinal cord injury. On the other hand, 16 of 26 patients survived. Twelve patients who were in shock or pre-shock and responded to fluid resuscitation, were treated successfully with TAE. Three patients without severe anemia, severe hemorrhage, and severe concomitant injury were treated successfully with only bed rest. One patient was treated with nephrectomy because the kidney bleeding developed into hemoperitoneum. CONCLUSIONS TAE instead of nephrectomy is useful for the patients with blunt deep renal injury who respond to fluid resuscitation. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e6 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Masato Yanagi Tokyo, Japan More articles by this author Go Kimura Tokyo, Japan More articles by this author Jun Akatsuka Tokyo, Japan More articles by this author Yukihiro Kondo Tokyo, Japan More articles by this author Yuki Endo Tochigi, Japan More articles by this author Taiji Nishimura Tochigi, Japan More articles by this author Kimiyoshi Mizunuma Tochigi, Japan More articles by this author Masatoku Arai Tokyo, Japan More articles by this author Hiroyuki Yokota Tokyo, Japan More articles by this author Ken Nakazawa Tokyo, Japan More articles by this author Satoru Murata Tokyo, Japan More articles by this author Shinichiro Kumita Tokyo, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...