1. Endovascular management of arterial injuries after blunt or iatrogenic renal trauma
- Author
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Christiane Mousson, Céline Duperron, Christophe Galland, Nabil Majbri, Pascale Briche, Sophie Gehin, Pierre-Emmanuel Berthod, Romaric Loffroy, Nicolas Falvo, Olivier Chevallier, Marco Midulla, Department vascular, oncologic ans interventional radiology (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Laboratoire d'Electronique, d'Informatique et d'Image [EA 7508] (Le2i), Université de Technologie de Belfort-Montbeliard (UTBM)-Université de Bourgogne (UB)-École Nationale Supérieure d'Arts et Métiers (ENSAM), Arts et Métiers Sciences et Technologies, HESAM Université (HESAM)-HESAM Université (HESAM)-Arts et Métiers Sciences et Technologies, HESAM Université (HESAM)-HESAM Université (HESAM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS), Service d'Urologie [CHU de Dijon], and Service de néphrologie (CHU de Dijon)
- Subjects
medicine.medical_specialty ,arterial embolization Interventional Radiology ,medicine.medical_treatment ,030232 urology & nephrology ,Arteriovenous fistula ,Outcomes ,[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine ,Review Article ,Kidney ,Renal hilum ,030218 nuclear medicine & medical imaging ,Embolization ,03 medical and health sciences ,Pseudoaneurysm ,0302 clinical medicine ,Blunt ,medicine.artery ,interventional radiology ,[INFO.INFO-IM]Computer Science [cs]/Medical Imaging ,medicine ,Radiology, Nuclear Medicine and imaging ,Renal artery ,blunt trauma ,business.industry ,Dissection ,Arterial Embolization ,Stent ,medicine.disease ,3. Good health ,Surgery ,medicine.anatomical_structure ,iatrogenic lesion ,Blunt trauma ,Radiology ,business - Abstract
International audience; The kidney is the third most common abdominal organ to be injured in trauma, following the spleen and liver, respectively. The most commonly used classification scheme is the American Association for the Surgery of Trauma (AAST) classification of blunt renal injuries, which grades renal injury according to the size of laceration and its proximity to the renal hilum. Arteriovenous fistula and pseudoaneurysm are the most common iatrogenic biopsy-related or surgery-related vascular injuries in native kidneys. The approach to renal artery injuries has changed over time from more aggressive intervention to more conservative observational or endovascular management, including selective transcatheter arterial embolization (TAE) and the placement of stents/ stent grafts. In this article, we describe the role and technical aspects of endovascular interventions in the management of arterial injuries after blunt or iatrogenic renal trauma.Kidney; blunt trauma; iatrogenic lesion; interventional radiology; arterial embolization Interventional Radiology; Embolization; Outcomes; Dissection; Kidney
- Published
- 2017
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