Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: A retrospective cohort study

Boonsinsukh, Thana; Maroongroge, Panitpong

doi:10.1016/j.amsu.2020.04.029

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Although debate continues over which patients with liver injury should undergo angiography with embolization, Xu et al [10] concluded that selective angiography in patients with AAST grades III-IV hepatic trauma resulted in a significant decrease in the failure of nonoperative management. Boonsinsukh and Maroongroge [25] demonstrated that patients with shock and hemodynamic instability following abdominopelvic trauma were successfully managed with arterial embolization. Tamura et al [26] reported that patients with AAST grades III-V liver injuries and hemodynamic instability that responded to initial resuscitative efforts could be managed with embolotherapy without a significant difference in mortality or clinical failure compared to operative management.…”

Section: Nonoperative Managementmentioning

confidence: 99%

Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review

Roh

2023

J Trauma Inj

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Trauma remains a significant healthcare burden, causing over five million yearly fatalities. Notably, the liver is a frequently injured solid organ in abdominal trauma, especially in patients under 40 years. It becomes even more critical given that uncontrolled hemorrhage linked to liver trauma can have mortality rates ranging from 10% to 50%. Liver injuries, mainly resulting from blunt trauma such as motor vehicle accidents, are traditionally classified using the American Association for the Surgery of Trauma grading scale. However, recent developments have introduced the World Society of Emergency Surgery classification, which considers the patient's physiological status. The diagnostic approach often involves multiphase computed tomography (CT). Still, newer methods like split-bolus single-pass CT and contrast-enhanced ultrasound (CEUS) aim to reduce radiation exposure. Concerning management, nonoperative strategies have emerged as the gold standard, especially for hemodynamically stable patients. Incorporating angiography with embolization has also been beneficial, with success rates reported between 80% and 97%. However, it is essential to identify the specific source of bleeding for effective embolization. Given the severity of liver trauma and its potential complications, innovations in diagnostic and therapeutic approaches have been pivotal. While CT remains a primary diagnostic tool, methods like CEUS offer safer alternatives. Moreover, nonoperative management, especially when combined with angiography and embolization, has demonstrated notable success. Still, the healthcare community must remain vigilant to complications and continuously seek improvements in trauma care.

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Section: Nonoperative Managementmentioning

confidence: 99%

Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review

Roh

2023

J Trauma Inj

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“…In patients with hypovolemic shock due to blunt abdominal trauma, a transcatheter arterial embolization approach may result in a favorable outcome. [17] Venous Thromboembolism Deep vein thrombosis is always a risk in drivers, especially long-distance drivers. The condition also occurs in post-traumatic and post-surgical patients.…”

Section: Pelvic Fracturesmentioning

confidence: 99%

An Overview on Road Traffic Accident Management Approach

Alrasasi¹,

Alismail²,

Alabbad³

et al. 2021

Int j pharm res allied sci

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Background: Road traffic accidents are extremely common in low-and middle-income countries. Speculations show a correlation between male gender and traumatic injury, due to more rates of risky behaviors such as speeding and not adhering to safety guidelines. Objective: In this review, we aimed to evaluate the different types of injuries associated with Road Traffic Accident, and highlight the general management approach. Methods: We searched the literature on Mesh terms: (traffic accident), (injury), (fractures). Only articles relevant to traffic associated injury were included. Conclusion: RTA related injuries are important emergency conditions that necessitate traumatic survey and surgical intervention in many cases. Adhering to road rules and safety guidelines may help in reducing the number of fatalities and disabilities resulting from an otherwise preventable cause.

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“…Theoretically, SAE can provide a less invasive intervention to ensure hemostasis and preserved splenic function in comparison with open splenic surgery 7 . While open surgery is preferred as the standard treatment in hemodynamically unstable patients with BSI, SAE has been reported to be as effective and safe as open splenic surgery for controlling hemorrhage 8 – 10 .…”

Section: Introductionmentioning

confidence: 99%

Comparative effectiveness of angioembolization versus open surgery in patients with blunt splenic injury

Suzuki,

Shiraishi,

Ito

et al. 2024

Sci Rep

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The effectiveness and safety of transcatheter splenic artery embolization (SAE) compared to those of open surgery in patients with blunt splenic injury (BSI) remain unclear. This retrospective cohort-matched study utilized data from the Japan Trauma Data Bank recorded between 2004 and 2019. Patients with BSI who underwent SAE or open surgery were selected. A propensity score matching analysis was used to balance the baseline covariates and compare outcomes, including all-cause in-hospital mortality and spleen salvage. From 361,706 patients recorded in the data source, this study included 2,192 patients with BSI who underwent SAE or open surgery. A propensity score matching analysis was used to extract 377 matched pairs of patients. The in-hospital mortality rates (SAE, 11.6% vs. open surgery, 11.2%, adjusted relative risk (aRR): 0.64; 95% confidence interval [CI]: 0.38–1.09, p = 0.10) were similar in both the groups. However, spleen salvage was significantly less achieved in the open surgery group than in the SAE group (SAE, 87.1% vs. open surgery, 32.1%; aRR: 2.84, 95%CI: 2.29–3.51, p < 0.001). Survival rates did not significantly differ between BSI patients undergoing SAE and those undergoing open surgery. Nonetheless, SAE was notably associated with a higher likelihood of successful spleen salvage.

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Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: A retrospective cohort study

Cited by 3 publications

References 21 publications

Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review

Endovascular embolization of persistent liver injuries not responding to conservative management: a narrative review

An Overview on Road Traffic Accident Management Approach

Comparative effectiveness of angioembolization versus open surgery in patients with blunt splenic injury

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