Staff Members - Benha University
Diagnostic accuracy of computed tomography angiography in detection of post traumatic renal vascular injury
• 2018
Publication Information
Authors
Mohammed M. Dawouda,⁎, Alsiagy A. Salamaa, Tarek Abdelmoneim El-Diastyb,
Mohamed Alhefnawyc
Keywords
Not Available
Journal
Not Available
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
Local
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Objectives: To evaluate accuracy of computed tomography angiography (CTA) in evaluation of post traumatic
renal vascular injury.
Patients and methods: 38 patients were presented with post traumatic intermittent or persistent hematuria. Renal
CTA and digital subtraction angiography (DSA) were done for all patients.
Results: CTA demonstrated pseudoaneurysm (PA) in 30 patients (78.9%) and no vascular lesions in 8 patient
(21.1%). CTA had 86.11% sensitivity and 50% specificity in detection of post traumatic renal pseudoaneurysms,
CTA missed diagnosis of renal arteriovenous fistula (RAVF) in 10 patients which discovered later by DSA.
Conclusion: CTA with MIP as non invasive technique widely replaced renal DSA in detection of posttraumatic
renal pseudoaneurysm. Renal DSA is still best modality in detection of RAVF and also has the upper hand in
planning of selective renal artery embolization for the management of persistent or delayed hemorrhage from
renal vessels
renal vascular injury.
Patients and methods: 38 patients were presented with post traumatic intermittent or persistent hematuria. Renal
CTA and digital subtraction angiography (DSA) were done for all patients.
Results: CTA demonstrated pseudoaneurysm (PA) in 30 patients (78.9%) and no vascular lesions in 8 patient
(21.1%). CTA had 86.11% sensitivity and 50% specificity in detection of post traumatic renal pseudoaneurysms,
CTA missed diagnosis of renal arteriovenous fistula (RAVF) in 10 patients which discovered later by DSA.
Conclusion: CTA with MIP as non invasive technique widely replaced renal DSA in detection of posttraumatic
renal pseudoaneurysm. Renal DSA is still best modality in detection of RAVF and also has the upper hand in
planning of selective renal artery embolization for the management of persistent or delayed hemorrhage from
renal vessels