Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma

Authors

  • Sebastian Eduardo Velez hospital municipal de urgencias

DOI:

https://doi.org/10.31053/1853.0605.v74.n3.14483

Keywords:

blunt abdominal trauma, angioembolization, nonoperative treatment

Abstract

Background: nonoperative treatment (TNO) is suggested in blunt abdominal trauma in stable patients without necessarily addressing surgical trauma injuries. Among the tools used, it has highlighted the angioembolization as a method of stopping bleeding or potentially bleeding lesions. The existence of more than one lesion may be possible to treat this way. Objectives: to show the experience of a hospital emergency department in the use of angioembolization in nonoperative management of more than one injured abdominal organ. Demonstrate utility of simultaneous angioembolization of more than one vascular territory or organ in the management of patients with blunt abdominal trauma who start a nonoperative treatmeant. Design: Retrospective observational study Methods: Between 2007 and 2014, patients with blunt abdominal trauma and active hemorrhage or potentially bleeding lesions demonstrated by computed tomography (CT) were evaluated. Those who underwent nonoperative treatment and embolized were included. Of these, those with more than one organ or vascular territory embolized were described. Results: 392 patients were admitted with blunt abdominal trauma. Of these, 281 (72 %) started TNO protocol. 225 with active bleeding on CT were found. 183 patients (80 %) underwent angiography and 166 need embolization. In 7 cases embolization of more than one organ or vascular territory was performed. Conclusion: angioembolization of organ with active bleeding is definitely accepted practice in trauma centers. The opportunity and need for more than one organ embolization or vascular territory is scarce, but it is doable when adjusted to existing protocols, respecting especially hemodynamic stability

Author Biography

  • Sebastian Eduardo Velez, hospital municipal de urgencias

    Medico cirujano UNC

    Doctor en medicina y cirugia UNC

    Profesor universitario en medicina UNC

    Especialista en cirugia general CMPC

    Especialista en medicina de emergencias CMPC

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Published

2017-09-08

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Original Papers

How to Cite

1.
Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2017 Sep. 8 [cited 2024 Sep. 18];74(3):207-13. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/14483

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