Evidence map›Paper›PMID 34362352›Full record

SynthesisBMC urology2021

The role of angioembolization in the management of blunt renal injuries: a systematic review.

Giovanni Liguori, Giacomo Rebez, Alessandro Larcher, Michele Rizzo, Tommaso Cai, Carlo Trombetta, Andrea Salonia

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Solid Organ Injuries: To Irradiate or Operate?Seminars in interventional radiology · 2025
    Review
  6. Article
  7. Greater distance traveled for renal trauma care is not associated with higher rates of intervention.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  8. Article
  9. The Role of Interventional Radiology in Renal Trauma: A Narrative Review.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025
    Review
  10. Review
  11. Renal embolization for trauma: a narrative review.Journal of trauma and injury · 2024
    Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Giovanni LiguoriAzienda Sanitaria Universitaria Giuliano-Isontina, Strada di Fiume 447, 34149, Trieste, Italy.
Giacomo RebezAzienda Sanitaria Universitaria Giuliano-Isontina, Strada di Fiume 447, 34149, Trieste, Italy. giacomorebez@gmail.com.ORCID http://orcid.org/0000-0001-7938-1579
Alessandro LarcherUniversità Vita Salute San Raffaele, Milan, Italy.
Michele RizzoAzienda Sanitaria Universitaria Giuliano-Isontina, Strada di Fiume 447, 34149, Trieste, Italy.
Tommaso CaiOspedale Santa Chiara, Trento, Italy.
Carlo Trombetta
Andrea SaloniaUniversità Vita Salute San Raffaele, Milan, Italy.
Azienda Sanitaria Universitaria Integrata di Trieste · ITVita-Salute San Raffaele University · ITOspedale Santa Chiara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, renal angioembolization (RAE) has gained an important role in the non-operative management (NOM) of moderate to high-grade blunt renal injuries (BRI), but its use remains heterogeneous. The aim of this review is to examine the current literature on indications and outcomes of angioembolization in BRI.

methodsWe conducted a search of MEDLINE, EMBASE, SCOPUS and Web of Science Databases up to February 2021 in accordance with PRISMA guidelines for studies on BRI treated with RAE. The methodological quality of eligible studies and their risk of bias was assessed using the Newcastle-Ottawa scale

resultsA total of 16 articles that investigated angioembolization of blunt renal injury were included in the study. Overall, 412 patients were included: 8 presented with grade II renal trauma (2%), 97 with grade III renal trauma (23%); 225 with grade IV (55%); and 82 with grade V (20%). RAE was successful in 92% of grade III-IV (294/322) and 76% of grade V (63/82). Regarding haemodynamic status, success rate was achieved in 90% (312/346) of stable patients, but only in 63% (42/66) of unstable patients. The most common indication for RAE was active contrast extravasation in hemodynamic stable patients with grade III or IV BRI.

conclusionsThis is the first review assessing outcomes and indication of angioembolization in blunt renal injuries. The results suggest that outcomes are excellent in hemodynamic stable, moderate to high-grade renal trauma.

Indexed as

Embolization, TherapeuticHumansKidneyPatient AcuityTreatment OutcomeWounds, NonpenetratingAngioembolizationBluntKidneyRenalTrauma

Identifiers

PMID34362352
PMCPMC8344199
OpenAlexW3118586704

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.