Please use this identifier to cite or link to this item: https://ir.swu.ac.th/jspui/handle/123456789/11883
ชื่อเรื่อง: Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: A retrospective cohort study
ผู้แต่ง: Boonsinsukh T.
Maroongroge P.
Keywords: lactic acid
abdominal injury
acute pancreatitis
adult
angiography
aortic rupture
arterial embolization
Article
artificial embolization
blood transfusion
cohort analysis
computer assisted tomography
controlled study
disease severity
endovascular surgery
female
fluid resuscitation
follow up
Glasgow coma scale
heart rate
hemodynamics
human
injury scale
laparotomy
length of stay
liver cirrhosis
major clinical study
male
mortality rate
multiple organ failure
pelvis injury
priority journal
respiratory failure
resuscitation
retrospective study
systolic blood pressure
traffic accident
traumatic shock
วันที่เผยแพร่: 2020
บทคัดย่อ: Background: Transcatheter arterial embolization (TAE) is a useful endovascular technique for controlling hemorrhage in blunt abdominopelvic trauma without shock. However, several studies have reported that TAE is safe and effective for controlling hemorrhage in hypovolemic shock. Objective: To evaluate the effectiveness of TAE for patients with shock from abdominopelvic trauma. Method: The medical records of patients with abdominopelvic trauma at Her Royal Highness Princess Maha Chakri Sirindhorn Medical Center, Srinakharinwirot University from January 2014 to January 2019 were retrospectively reviewed. We enrolled patients with shock caused by injury to solid organs or pelvic fractures who underwent TAE. Result: Of the 320 patients, 14 patients with shock underwent TAE. A total of 78.6% were male. The mean age was 37.5 years. The average injury severity score was 31.3. The most common mechanism of injury was traffic accidents (85.7%). Embolization was performed for 8 liver injuries, 5 pelvic fractures and 1 splenic injury. The treatment time for TAE was approximately 47.9 ± 33.2 min. The mean length of hospital stay was 21.3 ± 15.9 days. Two patients died (14.3%). There were no embolization-related complications. A significant improvement in systolic blood pressure (p = 0.028) and a decrease in heart rate (p = 0.001), lactate concentration (p = 0.011), and crystalloid fluid (p = 0.001) and blood transfusion requirements (p = 0.002) were observed after TAE. Conclusions: TAE is a safe and effective method for treating shock patients with a rapid or transient response to resuscitation. For patients who are nonresponsive to resuscitation, TAE is an additional useful option for arterial hemorrhage control in abdominopelvic trauma. © 2020 The Authors
URI: https://ir.swu.ac.th/jspui/handle/123456789/11883
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085040424&doi=10.1016%2fj.amsu.2020.04.029&partnerID=40&md5=ca53800c5a3fea202fa9710f70b04203
ISSN: 20490801
Appears in Collections:Scopus 1983-2021

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