Factors Predictive of Selective Angioembolization Failure for Moderate- to High-grade Renal Trauma: A French Multi-institutional Study

被引：6

作者：

Baboudjian, Michael ^{[1
]}

Gondran-Tellier, Bastien ^{[1
]}

Panayotopoulos, Paul ^{[2
]}

Hutin, Marine ^{[3
]}

Olivier, Jonathan ^{[4
]}

Ruggiero, Marina ^{[5
]}

Dominique, Ines ^{[6
]}

Millet, Clementine ^{[7
]}

Bergerat, Sebastien ^{[8
]}

Freton, Lucas ^{[9
]}

Betari, Reem ^{[10
]}

Matillon, Xavier ^{[6
]}

Chebbi, Ala ^{[11
]}

Caes, Thomas ^{[4
]}

Patard, Pierre-Marie ^{[12
]}

Szabla, Nicolas ^{[13
]}

Sabourin, Laura ^{[7
]}

Dariane, Charles ^{[14
]}

Lebacle, Cedric ^{[5
]}

Rizk, Jerome ^{[4
]}

Madec, Francois-Xavier ^{[15
]}

Nouhaud, Francois-Xavier ^{[11
]}

Rod, Xavier ^{[15
]}

Fiard, Gaelle ^{[16
]}

Pradere, Benjamin ^{[17
]}

Peyronnet, Benoit ^{[9
]}

机构：

[1] Aix Marseille Univ, APHM, Conception Acad Hosp, Dept Urol & Kidney Transplantat, Marseille, France

[2] Univ Angers, Dept Urol, Angers, France

[3] Univ Montpellier, Dept Urol, Montpellier, France

[4] Univ Lille, Dept Urol, Lille, France

[5] Univ Paris Sud, Dept Urol, CHU Bicetre, Paris, France

[6] Univ Lyon, Dept Urol, Lyon, France

[7] Univ Clermont Ferrand, Dept Urol, Clermont Ferrand, France

[8] Univ Strasbourg, Dept Urol, Strasbourg, France

[9] Univ Rennes, Dept Urol, Rennes, France

[10] Univ Amiens, Dept Urol, Amiens, France

[11] Univ Rouen, Dept Urol, Rouen, France

[12] Univ Toulouse, Dept Urol, Toulouse, France

[13] Univ Caen, Dept Urol, Caen, France

[14] Univ Paris 05, Dept Urol, Paris, France

[15] Univ Nantes, Dept Urol, Nantes, France

[16] Univ Grenoble, Dept Urol, Grenoble, France

[17] Univ Tours, Dept Urol, Tours, France

来源：

EUROPEAN UROLOGY FOCUS | 2022年 / 8卷 / 01期

关键词：

Renal trauma; High grade; Embolization; Nonoperative management; MANAGEMENT; INJURY; EMBOLIZATION; HEMORRHAGE; OUTCOMES; SURGERY;

D O I：

10.1016/j.euf.2021.01.008

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Angiography with selective angioembolization (SAE) is safe and effective in addressing bleeding in patients with renal trauma. However, there are no validated criteria to predict SAE efficacy. Objective: To evaluate factors predictive of SAE failure after moderate-to high-grade renal trauma. Design, setting, and participants: TRAUMAFUF was a retrospective multi-institutional study including all patients who underwent upfront SAE for renal trauma in 17 French hospitals between 2005 and 2015. Outcome measurements and statistical analysis: The primary outcome was SAE efficacy, defined as the absence of repeat SAE, salvage nephrectomy, and/or death for each patient. Results and limitations: Out of 1770 consecutive patients with renal trauma, 170 (9.6%) with moderate-to high-grade renal trauma underwent SAE. Overall upfront SAE was successful in 131 patients (77%) and failed in 39 patients: six patients died after the embolization, ten underwent repeat SAE, 22 underwent open nephrectomy, and one underwent open surgical exploration. In multivariate logistic regression analysis, gross hematuria (odds ratio [OR] 3.16, 95% confidence interval [CI] 1.29-8.49; p = 0.015),

引用

页码：253 / 258

页数：6

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