top of page

BackTable / VI / Podcast / Episode #322

Renal Trauma Embolization

with Dr. Nima Kokabi

In this episode, host Dr. Chris Beck interviews Dr. Nima Kokabi about renal trauma embolizations, including imaging workup, embolization technique, and a warning on renal biopsies.

Sponsored by:

Boston Scientific Embold Fibered Coils

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Renal Trauma Embolization with Dr. Nima Kokabi on the BackTable VI Podcast)
Ep 322 Renal Trauma Embolization with Dr. Nima Kokabi
00:00 / 01:04

BackTable, LLC (Producer). (2023, May 15). Ep. 322 – Renal Trauma Embolization [Audio podcast]. Retrieved from

BackTable CMEfy button

Stay Up To Date



Sign Up:

Podcast Contributors

Dr. Nima Kokabi discusses Renal Trauma Embolization on the BackTable 322 Podcast

Dr. Nima Kokabi

Dr. Nima Kokabi is an interventional radiologist at Alberta Health in Calgary, Canada.

Dr. Christopher Beck discusses Renal Trauma Embolization on the BackTable 322 Podcast

Dr. Christopher Beck

Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

Show Notes

Dr. Kokabi was born in Iran, then moved to Canada where he grew up. He attended medical school in Australia due to the shortage of English speaking medical schools in Canada. After his medical training, he was interested in IR, and came to Yale for a fellowship. He then joined Emory as an attending, where he serves one of the largest trauma hospitals in the country. IR and trauma surgery have a close relationship at Emory, and Dr. Kokabi notes they rely more and more on IR for trauma management, even for things such as penetrating trauma, which is traditionally handled by surgery.

Most IR consults for kidney injury are iatrogenic from non-target renal biopsies in a nephrology office. The rules for getting access to a kidney that IRs are trained in are generally not followed by nephrology, and only some have ultrasound guidance for their biopsies. Other consults for bleeding from kidney injury are post-op from a partial nephrectomy or from blunt trauma. To work it up, he gets a 2 phase arterial and venous CT. All kidney injuries are evaluated and reported using the American Association for the Surgery of Trauma (AAST) grading scale. If there is an active bleed, they will go to IR for embolization. If the injury is severe, and there is no parenchymal enhancement, this indicates either the artery or both the artery and vein were transected, and this patient requires surgery. In cases where there is only a small pseudo-aneurysm or a perinephric hematoma, these patients can be monitored with repeat imaging.

For the embolization, Dr. Kokabi uses radial access. For his microcatheter, he likes the True Select. He always uses coils in the kidney, while in the liver, he uses gel foam. Some of his colleagues use glue for the kidney. He prefers detachable Embold coils, which are fiber coils with a nitinol pusher, so they don’t kink when being pushed very fast, and can be adjusted if positioning is unsatisfactory. When he is finished, he injects first through the microcatheter and then again through the base catheter to ensure he hasn’t missed any bleeding. He generally follows patients in the hospital for 1-2 days, before signing off. His parting advice to trainees and anyone doing kidney biopsies is to exercise caution, because although it is just a biopsy, it can cause life-threatening bleeding.


Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

Become a BackTable Sponsor

Up Next

How I Perform Renal Biopsies with Dr. Christopher Beck and Dr. Aaron Fritts on the BackTable VI Podcast)
How I Place Gastrostomy Tubes with Dr. Christopher Beck on the BackTable VI Podcast)
Cholecystostomy Tubes with Dr. Christopher Beck on the BackTable VI Podcast)
Renal Ablation Technique & Devices with Dr. Nainesh Parikh on the BackTable VI Podcast)
Discussing the Complications Survey Results with the BackTable Team on the BackTable VI Podcast)
Minimizing Complications for Lung Biopsies with Dr. Robert Suh on the BackTable VI Podcast)



Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page