Abstract
Renal embolization can be indicated in parenchymal or vascular diseases such as cancer, trauma, iatrogenic injury, hypertension, or end-stage renal failure, as a planned procedure or taking place in emergency situation.
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Appendix: AAST Classification (Kidney) [7]
Appendix: AAST Classification (Kidney) [7]
Gradea | Injury type | Description of injury | AIS |
|---|---|---|---|
I | Contusion | Microscopic or gross hematuria, urologic studies normal | 2 |
Hematoma | Subcapsular, nonexpanding, without parenchymal laceration | 2 | |
II | Hematoma | Nonexpanding perirenal hematoma confirmed to renal retroperitoneum | 2 |
Laceration | <1Â cm parenchymal depth of renal cortex, without urinary extravasation | 2 | |
III | Laceration | >1Â cm parenchymal depth of renal cortex, without collecting system rupture or urinary extravasation | 3 |
IV | Laceration | Parenchymal laceration extending through renal cortex, medulla, and collecting system | 4 |
Vascular | Main renal artery or vein injury with contained hemorrhage | 4 | |
V | Laceration | Completely shattered kidney | 5 |
Vascular | Avulsion of renal hilum that devascularizes kidney | 5 |
Chatelain’s classification of kidney injuries [6] | |
|---|---|
Type 1 | Simple contusion: benign lesion, capsular integrity |
Type 2 | Ruptured capsule, with parenchymal lesions, possibly involving the urinary tract |
Type 3 | Serious contusion, large gap between fragments, urohematoma, ischemia |
Type 4 | Pedicle vascular lesions |
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Boyer, L., Guy, L., Ravel, A., Cassagnes, L., Chemali, R., Chabrot, P. (2014). Renal Arterial Embolizations. In: Chabrot, P., Boyer, L. (eds) Embolization. Springer, London. https://doi.org/10.1007/978-1-4471-5182-1_13
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DOI: https://doi.org/10.1007/978-1-4471-5182-1_13
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