Transcatheter Arterial Embolization for Bleeding Related to Pelvic Trauma : Comparison of Technical and Clinical Results between Hemodynamically Stable and Unstable Patients
BACKGROUND: Endovascular intervention is now the primary line of therapy for arterial injury brought on by pelvic trauma since it can significantly reduce considerable morbidity associated with surgery and can swiftly access and control bleeding sites. Despite international guidelines and widespread awareness of the role of angioembolization in clinical practice, robust evidence comparing the outcomes of angioembolization in hemodynamically stable and unstable patients is still lacking. This study aims to directly compare the outcomes of angioembolization for the treatment of pelvic traumatic arterial injury in patients with hemodynamic stability vs. hemodynamic instability.
METHODS: In our multicenter retrospective investigation, we analyzed data from consecutive patients who underwent, from January 2020 to May 2023, angioembolization for traumatic pelvic arterial injury.
RESULTS: In total, 116 angioembolizations were performed. Gelatin sponges (56.9%) and coils (25.9%) were the most widely used embolic agents. The technical and clinical success rates were 100% and 91.4%, respectively. No statistically significant differences were observed between the two groups in terms of technical success, clinical success, procedure-related complication rate, or 30-day bleeding-related mortality.
CONCLUSIONS: Angioembolization is an effective and safe option for the management of traumatic pelvic arterial lesions even in hemodynamically unstable patients, despite technical variations such as greater use of prophylactic angioembolization.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:9 |
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| Enthalten in: |
Tomography (Ann Arbor, Mich.) - 9(2023), 5 vom: 01. Sept., Seite 1660-1682 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Minici, Roberto [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 25.09.2023 Date Revised 10.10.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.3390/tomography9050133 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM362335834 |
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| 245 | 1 | 0 | |a Transcatheter Arterial Embolization for Bleeding Related to Pelvic Trauma |b Comparison of Technical and Clinical Results between Hemodynamically Stable and Unstable Patients |
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| 500 | |a Date Revised 10.10.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Endovascular intervention is now the primary line of therapy for arterial injury brought on by pelvic trauma since it can significantly reduce considerable morbidity associated with surgery and can swiftly access and control bleeding sites. Despite international guidelines and widespread awareness of the role of angioembolization in clinical practice, robust evidence comparing the outcomes of angioembolization in hemodynamically stable and unstable patients is still lacking. This study aims to directly compare the outcomes of angioembolization for the treatment of pelvic traumatic arterial injury in patients with hemodynamic stability vs. hemodynamic instability | ||
| 520 | |a METHODS: In our multicenter retrospective investigation, we analyzed data from consecutive patients who underwent, from January 2020 to May 2023, angioembolization for traumatic pelvic arterial injury | ||
| 520 | |a RESULTS: In total, 116 angioembolizations were performed. Gelatin sponges (56.9%) and coils (25.9%) were the most widely used embolic agents. The technical and clinical success rates were 100% and 91.4%, respectively. No statistically significant differences were observed between the two groups in terms of technical success, clinical success, procedure-related complication rate, or 30-day bleeding-related mortality | ||
| 520 | |a CONCLUSIONS: Angioembolization is an effective and safe option for the management of traumatic pelvic arterial lesions even in hemodynamically unstable patients, despite technical variations such as greater use of prophylactic angioembolization | ||
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a angioembolization | |
| 650 | 4 | |a bleeding | |
| 650 | 4 | |a endovascular | |
| 650 | 4 | |a hemodynamic instability | |
| 650 | 4 | |a hemorrhage | |
| 650 | 4 | |a pelvic injury | |
| 650 | 4 | |a percutaneous | |
| 650 | 4 | |a prophylactic embolization | |
| 650 | 4 | |a transcatheter arterial embolization | |
| 650 | 4 | |a trauma | |
| 700 | 1 | |a Mercurio, Michele |e verfasserin |4 aut | |
| 700 | 1 | |a Guzzardi, Giuseppe |e verfasserin |4 aut | |
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