{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:59:29Z","timestamp":1784591969297,"version":"3.55.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1106","license":[{"start":{"date-parts":[[2019,12,12]],"date-time":"2019-12-12T00:00:00Z","timestamp":1576108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>Evaluate the efficacy and safety of renal artery embolization (RAE) for iatrogenic renal vascular injuries (IRVI) management at Fondazione Policlinico Universitario \"A. Gemelli\" IRCCS, in the last 5 years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>Retrospective analysis of all RAE procedures performed from January 2013 to December 2017. Patients-related (age, sex, vascular variants, hemoglobin and serum creatinine), IRVI-related (type and vascular level of IRVI, presence and extension of hematoma), management-related (temporal interval between diagnostic imaging and RAE) and procedure-related (embolic materials, technical success, clinical success and complications) parameters were evaluated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>28 RAE procedures performed on 28 patients (21 males; 7 females) were included. 19\/28 patients had pseudoaneurysm, 7\/28 active bleeding and 1\/28 arteriovenous fistula; 4\/28 patients had a combination of 2 IRVI.<\/jats:p>\n                  <jats:p>The extent of perirenal hematoma showed correlation with the cause of IRVI (p = 0.028).<\/jats:p>\n                  <jats:p>Technical success was achieved in all patients whereas clinical success in 25\/28 (89.3%), with 3 patients requiring re-treatment. Minor complications were observed during 2\/28 (7.1%) endovascular procedures. No major complications occurred. A longer procedural time was observed in patients with lower pre-procedural levels of hemoglobin (p = 0.016).<\/jats:p>\n                  <jats:p>No differences were found in mean serum creatinine (p = 0.23) before and immediately after treatment, while values of creatinine at 1 week from the procedure were significantly lower (p = 0.04).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>RAE is safe and effective for the management of iatrogenic IRVI showing high technical and clinical success rate and low complication rate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>Low pre-procedural hemoglobin levels increase procedural duration time. Glue alone or in combination with other materials is as safe as coils.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20190256","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T18:19:26Z","timestamp":1575397166000},"source":"Crossref","is-referenced-by-count":18,"title":["Renal artery embolization for iatrogenic renal vascular injuries management: 5 years\u2019 experience"],"prefix":"10.1093","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1489-6314","authenticated-orcid":false,"given":"Andrea","family":"Contegiacomo","sequence":"first","affiliation":[{"name":"Department of Radiological Sciences, Fondazione Policlinico Universitario A. 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