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Post-Traumatic Intraparenchymal Renal Hemorrhages: Correlation between CT and DSA Vascular Findings for Superselective Embolization Procedures.
Giurazza, Francesco; Contegiacomo, Andrea; Corvino, Fabio; Rebonato, Alberto; Castiglione, Davide; Palmucci, Stefano; Niola, Raffaella; Basile, Antonio.
Afiliación
  • Giurazza F; Vascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131 Naples, Italy.
  • Contegiacomo A; Radiology Department, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, 00136 Rome, Italy.
  • Corvino F; Vascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131 Naples, Italy.
  • Rebonato A; Radiology Department, Marche Nord Hospital, Piazzale Carlo Cinelli 1, 61121 Pesaro, Italy.
  • Castiglione D; Radiology 1 Unit, Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate, Università degli Studi di Catania, Via S. Sofia 98, 95100 Catania, Italy.
  • Palmucci S; Radiology 1 Unit, Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate, Università degli Studi di Catania, Via S. Sofia 98, 95100 Catania, Italy.
  • Niola R; Vascular and Interventional Radiology Department, Cardarelli Hospital, Via Antonio Cardarelli 9, 80131 Naples, Italy.
  • Basile A; Radiology 1 Unit, Dipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate, Università degli Studi di Catania, Via S. Sofia 98, 95100 Catania, Italy.
Diagnostics (Basel) ; 11(7)2021 Jul 14.
Article en En | MEDLINE | ID: mdl-34359339
BACKGROUND: This study aims to investigate the correlation between computed tomography (CT) and digital subtraction angiography (DSA) findings in patients affected by acute post-traumatic intraparenchymal renal hemorrhages and evaluate their conservative management with superselective embolization. METHODS: This retrospective multicenter analysis focuses on patients affected by renal bleedings detected by contrast-enhanced CT and treated with superselective endovascular embolization. CT findings were compared to DSA. Embolization procedural data were analyzed and renal function was evaluated before and after the intervention. RESULTS: Twenty-seven patients were retrospectively evaluated in one year. Compared to DSA, CT showed 96.3% diagnostic accuracy in terms of hemorrhage recognition; concerning the type of vascular lesion, there was discrepancy between CT and DSA in five cases. The technical success rate of embolization was 100%, while primary clinical success was 88.9%. The inferior parenchymal third was the most frequent site of renal injury. Microcoils were the most adopted embolics. Renal function did not change significantly before and after embolization. CONCLUSIONS: CT has elevated diagnostic accuracy in detecting post-traumatic intraparenchymal renal hemorrhages; in a small percentage, the type of vascular lesion may differ from the findings observed at DSA. In this scenario, superselective embolization presents high clinical success with a low complication rate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Diagnostics (Basel) Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Diagnostic_studies Idioma: En Revista: Diagnostics (Basel) Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza