Related Experiment Video
Updated: Oct 7, 2025
09:02
A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
4.6K
[Late complications after blunt renal trauma: A French multicenter study].
G Brenot1, I Dominique2, B Peyronnet3
1Hôpital d'instruction des armées Bégin, Saint-Mandé, France.
Summary
Blunt kidney trauma can lead to late complications in 11% of cases. High-grade trauma, active bleeding, and transfusions are key risk factors for these delayed issues.
Area of Science:
- Urology
- Trauma Surgery
- Nephrology
Background:
- Blunt kidney trauma is common, but long-term consequences are not well understood.
- Initial management is established, yet delayed effects require further investigation.
Purpose of the Study:
- To evaluate late complications following blunt renal trauma.
- To identify predictive factors for the development of these late complications.
Main Methods:
- Retrospective observational study (TraumAFUF project) from 2005-2018.
- Inclusion of 454 patients with blunt renal trauma followed for over 3 months.
- Comparison of patients with and without late complications using univariate and multivariate analyses.
Main Results:
- 11% of patients (50/454) experienced late complications.
- Complications included morphologically altered kidneys (2.9%), impaired renal function (2.9%), and secondary hypertension (2.4%).
- Risk factors: high-grade trauma (≥IV), active bleeding, transfusion needs, and interventional/endoscopic treatment.
Conclusions:
- Late complications occur in 11% of blunt renal trauma cases.
- Identified risk factors enable profiling patients who need extended monitoring.
- Proactive follow-up can aid in detecting delayed complications effectively.
Related Concept Videos
01:29Acute Kidney Injury III: Clinical Manifestations
148
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
148
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
76
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
76
01:29Acute Kidney Injury II: Pathophysiology
147
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
147
01:22Acute Kidney Injury I: Introduction
125
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
125
01:19Imaging Studies VII: Vascular Imaging
93
DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
93
01:26Kidney Transplant II: Surgical Procedure
87
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
87