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

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Issued Date

2020

Resource Type

Article

File Type

application/pdf

ISSN

20490801

DOI

10.1016/j.amsu.2020.04.029

Other identifier(s)

2-s2.0-85085040424

Rights Holder(s)

Scopus

Bibliographic Citation

Annals of Medicine and Surgery. Vol 55, (2020), p.97-100

Suggested Citation

Boonsinsukh T., Maroongroge P. Effectiveness of transcatheter arterial embolization for patients with shock from abdominopelvic trauma: A retrospective cohort study. Annals of Medicine and Surgery. Vol 55, (2020), p.97-100. doi:10.1016/j.amsu.2020.04.029 Retrieved from: https://hdl.handle.net/20.500.14740/4480

Title

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

Author(s)

Boonsinsukh T.
 Maroongroge P.

Abstract

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

Subject(s)

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

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URI

https://hdl.handle.net/20.500.14740/4480

Collections

Scopus: Year 1983-2021

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