Simultaneous organ angioembolization in nonoperative treatment strategy of blunt abdominal trauma

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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 Cba. 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:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-14483
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
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 Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2017
url https://revistas.unc.edu.ar/index.php/med/article/view/14483
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