Long-term renal function assessment with dimercapto-succinic acid scintigraphy after conservative treatment of major renal trauma

The Journal of Urology
Gaelle FiardJean-Alexandre Long

Abstract

The management of high grade blunt renal injury has evolved with time to become increasingly conservative with the ultimate objective of renal preservation. We evaluated relative renal function with dimercapto-succinic acid renal scintigraphy 6 months after major renal trauma (grade IV or V). This prospective observational study was done between January 2004 and April 2010. All patients who presented with grade IV or V renal trauma and were treated conservatively were included in analysis. Patient and trauma characteristics, and initial management were recorded. Relative renal function was evaluated by dimercapto-succinic acid renal scintigraphy 6 months after trauma. A total of 88 patients were included in the study. Conservative management was possible in 79 patients (90%), including 69 and 10 with grade IV and V trauma, respectively. Dimercapto-succinic acid renal scintigraphy was done at 6 months for 22 patients (28%). Mean relative renal function for grade IV and V injuries was 39% and 11%, respectively (p=0.0041). The percent of devascularized parenchyma (p=0.0033) and the vascular subtype of grade IV injuries (p=0.0194) also correlated with decreased renal function. No complication or de novo arterial hypertension was no...Continue Reading

References

Dec 1, 1989·The Journal of Trauma·E E MooreM L Ramenofsky
Sep 18, 2002·European Urology·Christian RadmayrGeorg Bartsch
Apr 11, 2003·The Journal of Urology·Clarisa C Hammer, Richard A Santucci
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Nov 11, 2009·The Journal of Trauma·Chad C WasdenChristy McCowan

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Citations

Dec 1, 2012·Case Reports in Urology·Campbell D Tait, B K Somani
Mar 15, 2015·Injury·Darshan P PatelJeremy B Myers
Jun 5, 2016·The Surgical Clinics of North America·Leonard N Zinman, Alex J Vanni
Feb 21, 2018·The Journal of Trauma and Acute Care Surgery·Camille OversChristian Piolat
Jun 11, 2020·International Urology and Nephrology·Paul H ChungJudith C Hagedorn
Nov 23, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Arisa MuratsuTakeshi Shimazu

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