Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28870883
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Diagn+Interv+Radiol
2017 ; 23
(5
): 371-378
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Percutaneous renal artery revascularization after prolonged ischemia secondary to
blunt trauma: pooled cohort analysis
#MMPMID28870883
Jahangiri Y
; Ashwell Z
; Farsad K
Diagn Interv Radiol
2017[Sep]; 23
(5
): 371-378
PMID28870883
show ga
PURPOSE: We aimed to identify factors related to technical and clinical success
of percutaneous revascularization for blunt renal arterial trauma. METHODS: All
cases of percutaneous revascularization for blunt renal arterial trauma were
searched in the available literature. We included a case of iatrogenic renal
artery occlusion at our institution treated by percutaneous stenting 20 hours
after injury. A pooled cohort analysis of percutaneous revascularization for
blunt renal artery injury was then performed to analyze factors related to
technical and clinical success. Clinical failure was defined as development of
new hypertension, serum creatinine rise, or significant asymmetry in split renal
function. RESULTS: A total of 53 cases have been reported, and 54 cases were
analyzed including our case. Median follow-up was 6 months. Technical success was
88.9% and clinical success was 75%. Of 12 treatment failures (25%), 66.7%
occurred during the first postprocedure month. Time from injury to
revascularization was not a predictor of clinical success (OR=1.00, P = 0.681).
Renal artery occlusion was significantly associated with clinical failure
(OR=7.50, P = 0.017) and postintervention antiplatelet therapy was significantly
associated with treatment success (OR=0.16, P = 0.043). At 37-month follow-up,
the stented renal artery in our case remained patent and the patient was
normotensive with preserved glomerular filtration rate. CONCLUSION: Percutaneous
revascularization for blunt renal arterial injury resulted in relatively high
technical and clinical success. Time-to-revascularization was independent of
successful outcomes. Clinical success was significantly associated with a patent
renal artery at the time of intervention and with postprocedure antiplatelet
therapy.