Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)

Manuel Armas-Phan; Sorena Keihani; Nnenaya Agochukwu-Mmonu; Andrew J. Cohen; Douglas M. Rogers; Sherry S. Wang; Joel A. Gross; Ryan P. Joyce; Judith C. Hagedorn; Bryan Voelzke; Rachel A. Moses; Rachel L. Sensenig; J. Patrick Selph; Shubham Gupta; Nima Baradaran; Bradley A. Erickson; Ian Schwartz; Sean P. Elliott; Kaushik Mukherjee; Brian P. Smith; Richard A. Santucci; Frank N. Burks; Christopher M. Dodgion; Matthew M. Carrick; Reza Askari; Sarah Majercik; Raminder Nirula; Jeremy B. Myers; Benjamin N. Breyer

doi:10.1016/j.urology.2020.10.027

Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)

Manuel Armas-Phan, Sorena Keihani, Nnenaya Agochukwu-Mmonu, Andrew J. Cohen, Douglas M. Rogers, Sherry S. Wang, Joel A. Gross, Ryan P. Joyce, Judith C. Hagedorn, Bryan Voelzke, Rachel A. Moses, Rachel L. Sensenig, J. Patrick Selph, Shubham Gupta, Nima Baradaran, Bradley A. Erickson, Ian Schwartz, Sean P. Elliott, Kaushik Mukherjee, Brian P. SmithRichard A. Santucci, Frank N. Burks, Christopher M. Dodgion, Matthew M. Carrick, Reza Askari, Sarah Majercik, Raminder Nirula, Jeremy B. Myers, Benjamin N. Breyer

Urology

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2 Scopus citations

Abstract

Objective: To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma. Material and Methods: Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy. Results: A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan. Conclusion: Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.

Original language	English (US)
Pages (from-to)	287-291
Number of pages	5
Journal	Urology
Volume	148
DOIs	https://doi.org/10.1016/j.urology.2020.10.027
State	Published - Feb 2021

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Armas-Phan, M., Keihani, S., Agochukwu-Mmonu, N., Cohen, A. J., Rogers, D. M., Wang, S. S., Gross, J. A., Joyce, R. P., Hagedorn, J. C., Voelzke, B., Moses, R. A., Sensenig, R. L., Selph, J. P., Gupta, S., Baradaran, N., Erickson, B. A., Schwartz, I., Elliott, S. P., Mukherjee, K., ... Breyer, B. N. (2021). Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS). Urology, 148, 287-291. https://doi.org/10.1016/j.urology.2020.10.027

Armas-Phan, M, Keihani, S, Agochukwu-Mmonu, N, Cohen, AJ, Rogers, DM, Wang, SS, Gross, JA, Joyce, RP, Hagedorn, JC, Voelzke, B, Moses, RA, Sensenig, RL, Selph, JP, Gupta, S, Baradaran, N, Erickson, BA, Schwartz, I, Elliott, SP, Mukherjee, K, Smith, BP, Santucci, RA, Burks, FN, Dodgion, CM, Carrick, MM, Askari, R, Majercik, S, Nirula, R, Myers, JB & Breyer, BN 2021, 'Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)', Urology, vol. 148, pp. 287-291. https://doi.org/10.1016/j.urology.2020.10.027

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title = "Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)",

abstract = "Objective: To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma. Material and Methods: Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy. Results: A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan. Conclusion: Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.",

author = "Manuel Armas-Phan and Sorena Keihani and Nnenaya Agochukwu-Mmonu and Cohen, {Andrew J.} and Rogers, {Douglas M.} and Wang, {Sherry S.} and Gross, {Joel A.} and Joyce, {Ryan P.} and Hagedorn, {Judith C.} and Bryan Voelzke and Moses, {Rachel A.} and Sensenig, {Rachel L.} and Selph, {J. Patrick} and Shubham Gupta and Nima Baradaran and Erickson, {Bradley A.} and Ian Schwartz and Elliott, {Sean P.} and Kaushik Mukherjee and Smith, {Brian P.} and Santucci, {Richard A.} and Burks, {Frank N.} and Dodgion, {Christopher M.} and Carrick, {Matthew M.} and Reza Askari and Sarah Majercik and Raminder Nirula and Myers, {Jeremy B.} and Breyer, {Benjamin N.}",

note = "Publisher Copyright: {\textcopyright} 2020 Elsevier Inc.",

year = "2021",

month = feb,

doi = "10.1016/j.urology.2020.10.027",

language = "English (US)",

volume = "148",

pages = "287--291",

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TY - JOUR

T1 - Clinical and Radiographic Factors Associated With Failed Renal Angioembolization

T2 - Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)

AU - Armas-Phan, Manuel

AU - Keihani, Sorena

AU - Agochukwu-Mmonu, Nnenaya

AU - Cohen, Andrew J.

AU - Rogers, Douglas M.

AU - Wang, Sherry S.

AU - Gross, Joel A.

AU - Joyce, Ryan P.

AU - Hagedorn, Judith C.

AU - Voelzke, Bryan

AU - Moses, Rachel A.

AU - Sensenig, Rachel L.

AU - Selph, J. Patrick

AU - Gupta, Shubham

AU - Baradaran, Nima

AU - Erickson, Bradley A.

AU - Schwartz, Ian

AU - Elliott, Sean P.

AU - Mukherjee, Kaushik

AU - Smith, Brian P.

AU - Santucci, Richard A.

AU - Burks, Frank N.

AU - Dodgion, Christopher M.

AU - Carrick, Matthew M.

AU - Askari, Reza

AU - Majercik, Sarah

AU - Nirula, Raminder

AU - Myers, Jeremy B.

AU - Breyer, Benjamin N.

PY - 2021/2

Y1 - 2021/2

N2 - Objective: To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma. Material and Methods: Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy. Results: A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan. Conclusion: Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.

AB - Objective: To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma. Material and Methods: Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy. Results: A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan. Conclusion: Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.

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DO - 10.1016/j.urology.2020.10.027

M3 - Article

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AN - SCOPUS:85095823565

SN - 0090-4295

VL - 148

SP - 287

EP - 291

JO - Urology

JF - Urology

ER -

Clinical and Radiographic Factors Associated With Failed Renal Angioembolization: Results From the Multi-institutional Genitourinary Trauma Study (Mi-GUTS)

Abstract

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