Abstract

Background:Although the American Association of the Surgery for Trauma Organ Injury Scale is the gold standard for staging renal trauma, it does not address characteristics of perirenal hematomas that may indicate significant hemorrhage. Angiographic embolization has become well established as an ef

Highlights

  • Background: the American Association of the Surgery for Trauma Organ Injury Scale is the gold standard for staging renal trauma, it does not address characteristics of perirenal hematomas that may indicate significant hemorrhage

  • We evaluated two novel radiographic indicators--perirenal hematoma size and intravascular contrast extravasation (ICE)--to test their association with subsequent angiographic embolization

  • ICE was defined as contrast within the perirenal hematoma during the portal venous phase having signal density matching contrast in the renal artery

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Summary

Introduction

Radiographic predictors of need for angiographic embolization after traumatic renal injury Nuss GR, Morey AF, Jenkins AC, Pruitt JH, Dugi DD 3rd, Morse B, Shariat SF Department of Urology, University of Texas Southwestern Medical Centre, Dallas, Texas, USA J Trauma. Background: the American Association of the Surgery for Trauma Organ Injury Scale is the gold standard for staging renal trauma, it does not address characteristics of perirenal hematomas that may indicate significant hemorrhage. Conclusions: Superselective embolization therapy for renal trauma provides an effective and minimally invasive means to stop bleeding.

Results
Conclusion
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