Kidney-sparing embolization reduces patients' risk of acute injury and death compared to surgery
A new study finds that embolization greatly reduces the risk of acute kidney injury and in-hospital mortality compared with nephrectomy when treating initially stable trauma patients with high-grade kidney injuries. The study was published online today in the Journal of Vascular and Interventional Radiology.
A recent study published in the Journal of Vascular and Interventional Radiology found that embolization is a safer and more effective alternative to surgery for treating high-grade kidney injuries in initially stable trauma patients. The research, which analyzed 849 cases from the American College of Surgeons-Trauma Quality Improvement Program, showed that patients who underwent embolization had lower rates of in-hospital mortality (4.9%) and acute kidney injury (4.1%) compared to those who underwent nephrectomy (17.1% and 14.7%, respectively).
Additionally, embolization was associated with fewer instances of cardiac arrest, unplanned return to the operating room, severe sepsis, myocardial infarction, deep surgical site infection, and superficial incisional surgical site infection. The lead author of the study, Waseem Wahood, MD, MS, concluded that embolization is a safe and effective method that yields better outcomes for this patient group, both in the short and long term.
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