Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma

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 o...

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Autor principal: Velez, Sebastian Eduardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017
Materias:
abdomen
trauma
embolización
blunt abdominal trauma
angioembolization
nonoperative treatment
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/14483
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-14483
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic abdomen
trauma
embolización
blunt abdominal trauma
angioembolization
nonoperative treatment
spellingShingle abdomen
trauma
embolización
blunt abdominal trauma
angioembolization
nonoperative treatment
Velez, Sebastian Eduardo
Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
topic_facet abdomen
trauma
embolización
blunt abdominal trauma
angioembolization
nonoperative treatment
author Velez, Sebastian Eduardo
author_facet Velez, Sebastian Eduardo
author_sort Velez, Sebastian Eduardo
title Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
title_short Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
title_full Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
title_fullStr Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
title_full_unstemmed Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
title_sort simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma
description 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
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2017
url https://revistas.unc.edu.ar/index.php/med/article/view/14483
work_keys_str_mv AT velezsebastianeduardo simultaneousorganangioembolizationinnonoperativetreatmentstrategyofbluntabdominaltrauma
AT velezsebastianeduardo angioembolizacionsimultaneadeorganosenlaestrategiadetratamientonooperatorioentraumacerradodeabdomen
first_indexed 2024-09-03T20:58:15Z
last_indexed 2024-09-03T20:58:15Z
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spelling I10-R327-article-144832024-08-27T18:20:09Z Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma Angioembolización simultánea de órganos en la estrategia de tratamiento no operatorio en trauma cerrado de abdomen Velez, Sebastian Eduardo abdomen trauma embolización blunt abdominal trauma angioembolization nonoperative treatment 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 Antecedentes: el tratamiento no operatorio (TNO) es el abordaje sugerido en el trauma cerrado de abdomen en pacientes estables sin lesiones necesariamente quirúrgicas.Entre las herramientas utilizadas, se ha destacado la angioembolizacion como método de detención de la hemorragia o en lesiones potencialmente sangrantes. La existencia de más de una lesión podría ser factible de tratar por esta vía.Objetivos: mostrar la experiencia de un hospital de urgencias en la utilización de angioembolización en el tratamiento no operatorio de más de un órgano abdominal lesionado.Diseño: estudio retrospectivo observacional.Material y métodos: entre 2007 y 2014 se evaluaron pacientes con trauma abdominal cerrado y lesiones hemorrágicas o potencialmente sangrantes demostradas por tomografía computada (TC). Se incluyeron aquellos que ingresaron a TNO y fueron angioembolizados. De estos, se describieron aquellos con más de un órgano o territorio vascular embolizado.Resultados: ingresaron 392 pacientes con trauma abdominal cerrado, de los cuales 281 (72%) iniciaron protocolo de TNO. Se encontraron 225 hemorragias activas en la TC y 183 pacientes (80%) fueron sometidos a angiografía, y embolizados 166 pacientes. En 7 casos se realizó embolización de más de un órgano o territorio vascular.Conclusión: la angioembolización de órganos con sangrado activo es una práctica definitivamente aceptada en centros de trauma. La oportunidad y necesidad de embolizar más de un órgano o territorio vascular es escasa, pero es factible cuando se ajusta a los lineamientos existentes, respetando sobre todo la estabilidad hemodinámica. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2017-09-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf image/jpeg image/jpeg image/jpeg image/jpeg image/jpeg https://revistas.unc.edu.ar/index.php/med/article/view/14483 10.31053/1853.0605.v74.n3.14483 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 74 No. 3 (2017); 207-213 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 74 Núm. 3 (2017); 207-213 Revista da Faculdade de Ciências Médicas de Córdoba; v. 74 n. 3 (2017); 207-213 1853-0605 0014-6722 10.31053/1853.0605.v74.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/14483/19099 https://revistas.unc.edu.ar/index.php/med/article/view/14483/26005 https://revistas.unc.edu.ar/index.php/med/article/view/14483/26006 https://revistas.unc.edu.ar/index.php/med/article/view/14483/26007 https://revistas.unc.edu.ar/index.php/med/article/view/14483/26008 https://revistas.unc.edu.ar/index.php/med/article/view/14483/26009 Derechos de autor 2017 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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