钝性肾动脉损伤：一个治疗难题。
Blunt renal artery trauma: A therapeutic dilemma.
作者信息
Rossi Umberto G, Cariati Maurizio
机构信息
Department of Diagnostic Imaging-Interventional Radiology Unit, E.O. Galliera Hospital, Mura delle Cappuccine, Genova, Italy.
Department of Diagnostic Science-Radiology and Interventional Radiology Unit, ASST Santi Paolo and Carlo-San Carlo Borromeo Hospital, Via Pio II, Milano, Italy.
出版信息
Turk J Urol. 2018 Aug 28;45(3):233-236. doi: 10.5152/tud.2018.91145. Print 2019 May.
Abstract
Blunt abdominal trauma with consequent renal artery dissection is a rare complication. Treatment is chosen on the patient's hemodynamic status, renal function and vascularization. We present two cases of renal dissection after blunt abdominal trauma: first one treated with conservative management, and the other one with urgent endovascular stenting.
摘要
钝性腹部创伤导致肾动脉夹层是一种罕见的并发症。治疗方案根据患者的血流动力学状态、肾功能和血管情况来选择。我们呈现两例钝性腹部创伤后肾动脉夹层的病例：第一例采用保守治疗，另一例采用紧急血管内支架置入术。
相似文献
1
Blunt renal artery trauma: A therapeutic dilemma.
Turk J Urol. 2018 Aug 28;45(3):233-236. doi: 10.5152/tud.2018.91145. Print 2019 May.
2
Post-Traumatic Ostial Avulsion of a Polar Inferior Renal Artery Treated by Endovascular Covered Aortic Stenting.
J Belg Soc Radiol. 2020 May 7;104(1):24. doi: 10.5334/jbsr.2081.
3
[Current diagnostic and therapeutic approaches in liver injuries].
Acta Chir Orthop Traumatol Cech. 2003;70(4):219-25.
4
Endovascular management of blunt renal artery trauma.
Isr Med Assoc J. 2013 May;15(5):210-5.
5
Long-Term Outcomes of Endovascular Stenting for Blunt Renal Artery Injuries with Stenosis: A Report of Five Consecutive Cases.
J Nippon Med Sch. 2019;86(3):172-178. doi: 10.1272/jnms.JNMS.2019_86-306.
6
Multidisciplinary Management of Blunt Renal Artery Injury with Endovascular Therapy in the Setting of Polytrauma: A Case Report and Review of the Literature.
Ann Vasc Surg. 2017 Jan;38:318.e11-318.e16. doi: 10.1016/j.avsg.2016.05.130. Epub 2016 Aug 20.
7
Renal Artery Injury Secondary to Blunt Abdominal Trauma - Two Case Reports.
Pol J Radiol. 2016 Nov 28;81:572-577. doi: 10.12659/PJR.899710. eCollection 2016.
8
Abdominal wall hernia and aortic injury secondary to blunt trauma: Case report and review of the literature.
Int J Surg Case Rep. 2014;5(12):1238-41. doi: 10.1016/j.ijscr.2014.11.036. Epub 2014 Nov 15.
9
[Management of intraparenchymal pseudoaneurysm after blunt renal trauma: Results from a series of 325 patients].
Prog Urol. 2017 Mar;27(3):190-199. doi: 10.1016/j.purol.2016.12.012. Epub 2017 Feb 8.
10
Management of pediatric blunt renal trauma: A systematic review.
J Trauma Acute Care Surg. 2016 Mar;80(3):519-28. doi: 10.1097/TA.0000000000000950.
引用本文的文献
1
Bilateral Renal Infarction, a Rare Consequence of Blunt Renal Artery Injury: A Case Report.
Clin Med Insights Case Rep. 2025 Mar 31;18:11795476241297632. doi: 10.1177/11795476241297632. eCollection 2025.
2
Bilateral traumatic renal artery dissection managed by endovascular therapy.
BMJ Case Rep. 2022 Jul 14;15(7):e250515. doi: 10.1136/bcr-2022-250515.
本文引用的文献
1
Endovascular management of arterial injuries after blunt or iatrogenic renal trauma.
Quant Imaging Med Surg. 2017 Aug;7(4):434-442. doi: 10.21037/qims.2017.08.04.
2
Percutaneous renal artery revascularization after prolonged ischemia secondary to blunt trauma: pooled cohort analysis.
Diagn Interv Radiol. 2017 Sep-Oct;23(5):371-378. doi: 10.5152/dir.2017.16415.
3
Renal Artery Injury Secondary to Blunt Abdominal Trauma - Two Case Reports.
Pol J Radiol. 2016 Nov 28;81:572-577. doi: 10.12659/PJR.899710. eCollection 2016.
4
Endovascular management of blunt renal artery trauma.
Isr Med Assoc J. 2013 May;15(5):210-5.
5
Delayed endovascular treatment of renal artery dissection and reno-vascular hypertension after blunt abdominal trauma.
Cardiovasc Intervent Radiol. 2011 Oct;34(5):1094-7. doi: 10.1007/s00270-011-0133-y.
6
Isolated spontaneous renal artery dissection: diagnosis and endovascular management.
Diagn Interv Radiol. 2011 Mar;17(1):101-4. doi: 10.4261/1305-3825.DIR.2786-09.1. Epub 2009 Dec 31.
7
Renal infarction resulting from traumatic renal artery dissection.
Korean J Intern Med. 2008 Jun;23(2):103-5. doi: 10.3904/kjim.2008.23.2.103.
8
Management and hospital outcomes of blunt renal artery injuries: analysis of 517 patients from the National Trauma Data Bank.
J Am Coll Surg. 2006 Nov;203(5):612-7. doi: 10.1016/j.jamcollsurg.2006.07.004. Epub 2006 Sep 27.
9
Seven renal arteries.
Clin Anat. 2006 Oct;19(7):632-3. doi: 10.1002/ca.20264.
Zotero 插件