“Beyond saving lives”: Current perspectives of interventional radiology in trauma

Table 3 Endovascular interventions in renal artery injury[27]

Vascular injury
Site and type of injury	Endovascular management	Comments
Main renal artery-dissection, laceration, contrast extravasation	Stent graft	Preserves flow across the site of injury if negotiated safely and successfully
Main renal artery occlusion	Intra-arterial thrombolysis using urokinase or tissue plasminogen activator	Salvages kidney if administered within 6 h of injury
Intra-renal haemorrhage or pseudoaneurysm	Superselective embolization via microcatheter system and microcoils	Targeted embolization: Preserves functioning renal parenchyma
Arterio-venous or arterio-calyceal fistula	Embolization just proximal to fistulous site	Targeted embolization: Preserves functioning renal parenchyma