Evidence map›Paper›PMID 40304750›Full record

ArticleAbdominal radiology (New York)2025

Efficacy and safety of renal artery embolization for blunt traumatic renal hemorrhage: a multicenter study.

Yongqi Li, Shibing Hu, Wei Ding, Zhongzhi Jia, Tongqing Xue, Liqiang Jiang

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Abdominal radiology (New York), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yongqi LiChangzhou No.2 People's Hospital, Changzhou, China.
Shibing HuGaochun People's Hospital, Nanjing, China.
Wei DingWuxi People's Hospital, Wuxi, China.
Zhongzhi JiaChangzhou No.2 People's Hospital, Changzhou, China.
Tongqing XueHuaian Hospital of Huai'an City, Huai'an City, China. vh6376@163.com.
Liqiang JiangChangzhou No.2 People's Hospital, Changzhou, China. 13616106021@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of renal artery embolization (RAE) for the management of blunt traumatic renal hemorrhage.

methodsPatients with blunt traumatic renal hemorrhage treated with RAE across four hospitals from January 2018 to December 2024 were included in the study. Technical and clinical success rates, renal function preservation, side effects and complication were analyzed.

resultsIn the 71 study patients, the technical success rate of RAE was 100%, and the clinical success rate was 93.0% (66/71). The mean RAE procedure time was 1.2 ± 0.5 h and which was increased with higher American Association for the Surgery of Trauma (AAST) grades, and significantly longer was required for higher AAST grade. The mean infarcted renal area was 38% (range, 15-80%). The average serum creatinine level pre- and 1, 3, 5 and 7 days post-RAE were 95.6 ± 47.1 µmol/L, 99.0 ± 44.3 µmol/L, 88.4 ± 31.7 µmol/L, 85.0 ± 27.5 µmol/L and 78.5 ± 41.1 µmol/L, respectively. Different embolic materials (coils vs. gelatin sponge particles) showed no significant differences in technical and clinical success rates but highlighted cost advantages for gelatin sponge particles (4003.4 ± 1381.9 vs. 1919.4 ± 345.7 CNY; P < 0.001). The most common side effect was fever (42.3%), while no RAE related major complications.

conclusionRAE is a highly effective and minimally invasive treatment for blunt traumatic renal hemorrhage, with significant success in hemostasis and renal function preservation. Gelatin sponge particles should be used as first line choice for RAE.

Indexed as

Embolization, TherapeuticHemorrhageKidneyRenal ArteryWounds, NonpenetratingAdolescentAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeEmbolizationHemorrhageInjuryRenal

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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.