Early Transcatheter Arterial Embolization for the American Association for the Surgery of Trauma Grade 4 Blunt Renal Trauma in Two Institutions
| Autor: | Satoru Murata, Yasutomo Suzuki, Taiji Nishimura, Tsutomu Hamasaki, Yukihiro Kondo, Kimiyoshi Mizunuma, Masato Yanagi, Hiroyuki Yokota, Masatoku Arai |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors medicine.medical_treatment 030232 urology & nephrology Kidney Wounds Nonpenetrating Severity of Illness Index Treatment failure Young Adult 03 medical and health sciences Renal Artery 0302 clinical medicine Blunt Japan Renal injury Cause of Death Catheterization Peripheral medicine Humans Treatment Failure Embolization Retrospective Studies medicine.diagnostic_test business.industry Arterial Embolization Medical record Interventional radiology General Medicine Middle Aged Embolization Therapeutic Surgery Treatment Outcome 030220 oncology & carcinogenesis Concomitant Female business |
| Zdroj: | Journal of Nippon Medical School. 85:204-207 |
| ISSN: | 1347-3409 1345-4676 |
| DOI: | 10.1272/jnms.jnms.2018_85-31 |
| Popis: | OBJECTIVES To evaluate the efficacy of early transcatheter arterial embolization for hemodynamically stable patients with The American Association for the Surgery of Trauma (AAST) grade 4 blunt renal trauma. MATERIALS AND METHODS The medical records of consecutive patients with grade 4 blunt renal trauma who were transported to our two critical care centers in Japan and treated with early transcatheter arterial embolization (TAE) between 2001 and 2013 were retrospectively reviewed. Treatment failure was defined as the need for further surgical intervention or re-embolization after initial embolization. We divided these cases into two groups, a group who survived and a group who died, investigating the factors that led to death. RESULTS Seventeen patients underwent early TAE, with an average time between presentation and embolization for renal trauma of 125 minutes (66-214 minutes). There was no case of treatment failure. Three of the patients died, but none solely because of renal injury. Significant factors associated with patient death were the number of concomitant injured organs (p=0.04), the presence of pelvic fractures (p |
| Databáze: | OpenAIRE |
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