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Traumatic renal artery occlusion: a 15-year review
C A Haas1, K H Dinchman, P F Nasrallah
1Department of Urology, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio 44109-1998, USA.
The Journal of Trauma
|September 29, 1998
Summary
Surgical revascularization for traumatic renal artery occlusion rarely succeeds. Patients not undergoing revascularization require monitoring for delayed hypertension, a common complication.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Nephrology
Background:
- Traumatic renal artery occlusion requires defined treatment protocols.
- A 15-year experience in managing this specific injury is presented.
Purpose of the Study:
- To define appropriate treatment for traumatic renal artery occlusion.
- To evaluate outcomes and complications of managing this injury.
Main Methods:
- Retrospective chart review of 12 patients (13 injuries) with blunt traumatic renal artery occlusion.
- Evaluation of surgical revascularization versus observation outcomes.
Main Results:
- Surgical revascularization had poor outcomes: 1 nephrectomy, 3 non-functional kidneys, 1 with 9% function.
- Observation in 7 patients led to no immediate complications.
- Hypertension developed in 43% of observed patients, requiring nephrectomy.
Conclusions:
- Surgical revascularization for traumatic renal artery occlusion offers limited success.
- Close follow-up for hypertension is crucial in observed patients.