Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2019 / Cilt: 25 - Sayı: 3

Use of angiographic embolization in trauma-induced pediatric abdominal solid organ injuries

Anjiyografik embolizasyonun çocuklarda künt karın travmasına bağlı solid organ yaralanmasında kullanımı

Pages
238–246
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The current study is an examination of AE as an effective and reliable method to control bleeding in patientswith persistent bleeding due to blunt trauma-induced abdominal solid organ injury.METHODS: This was a retrospective examination of patients

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Knowledge of the utility of angiographic embolization (AE) in pediatric cases of blunt abdominal solid organtrauma injuries is limited.
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Key Findings & Data:BACKGROUND: Knowledge of the utility of angiographic embolization (AE) in pediatric cases of blunt abdominal solid organtrauma injuries is limited.
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Conclusion & Impact:The current study is an examination of AE as an effective and reliable method to control bleeding in patientswith persistent bleeding due to blunt trauma-induced abdominal solid organ injury.METHODS: This was a retrospective examination of patients
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Knowledge of the utility of angiographic embolization (AE) in pediatric cases of blunt abdominal solid organtrauma injuries is limited. The current study is an examination of AE as an effective and reliable method to control bleeding in patientswith persistent bleeding due to blunt trauma-induced abdominal solid organ injury.METHODS: This was a retrospective examination of patients

Özet

AMAÇ: Anjiyografik embolizasyon (AE) çocuklarda künt karın travmasına bağlı solid organ yaralanmalarında sınırlı olarak kullanılmaktadır. Bu çalışmada, künt travmaya bağlı karındaki solid organ hasarına bağlı kanamalı hastalarda kanamayı kontrol etmek için AE’yi etkin ve güvenilir bir yöntem olarak kullanma deneyimimizi sunuyoruz. GEREÇ VE YÖNTEM: Çalışmamız da künt karın solid organ yaralanması geçirmiş ve son dört yıl içinde kliniğimize başvuran 17 yaş altı hastaları geriye dönük olarak araştırıldı. Veriler istatistiksel olarak analiz edildi. BULGULAR: Embolizasyon yapılan hastaların (AE) (n=11) yoğun bakım ünitesinde (YBÜ) kalış süresi ortalama dört gün olup ortalama hastanede kalış süresi 12 gündü. Ortalama hasta organ yaralanma derecesi 4.18±0.40 idi. Ameliyatsız tedavi uygulanan (embolizasyonsuz) (n=72) yaş ortalaması 9.1±3.8 yıl idi. YBÜ’de ortalama kalış süresi iki gündü (dağılım, 2–10 gün) ve ortalama hastanede kalış süresi 5.5 gündü (dağılım, 4–30 gün). Hastaların ortalama organ yaralanma derecesi 1.73±0.75 idi. AE gerektiren hastalarda solid organ hasarı daha ciddi derecede yüksekti (p

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Cite This Article

Arslan, A. K., Kutlu, R., Saraç, K., Demircan, M., Ceran, C., Gürünlüoğlu, K., Yıldırım, İ. O., Bayrakçı, E., Taşçı, A., Yıldız, T. (2022). Use of angiographic embolization in trauma-induced pediatric abdominal solid organ injuries. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 25 - Sayı: 3, 238–246. https://ajindex.com/articles/644243

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References (15)

  1. Papakostidis C, Kanakaris N, Dimitriou R, Giannoudis PV. The role of arterial embolization in controlling pelvic fracture haemorrhage: a systematic review of the literature. Eur J Radiol 2012;81:897–904
  2. Ierardi AM, Duka E, Lucchina N, Floridi C, De Martino A, Donat D, et al. The role of interventional radiology in abdominopelvic trauma. Br J Radiol 2016;89:20150866
  3. Kiankhooy A, Sartorelli KH, Vane DW, Bhave AD. Angiographic embolization is safe and effective therapy for blunt abdominal solid organ injury in children. J Trauma 2010;68:526–31
  4. Moore EE, Shackford SR, Pachter HL, McAninch JW, Browner BD, Champion HR, et al.Organ injury scaling: spleen, liver, and kidney. J Trauma 1989;29:1664–6
  5. Gaines BA. Intra-abdominal solid organ injury in children: diagnosis and treatment. J Trauma 2009;67:S135–9
  6. Davis KA, Fabian TC, Croce MA, Gavant ML, Flick PA, Minard G, et al. Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms. J Trauma 1998;44:1008–13
  7. Dent D, Alsabrook G, Erickson BA, Myers J, Wholey M, Stewart R, et al. Blunt splenic injuries: high nonoperative management rate can be achieved with selective embolization. J Trauma 2004;56:1063–7
  8. Peitzman AB, Richardson JD. Surgical treatment of injuries to the solid abdominal organs: a 50-year perspective from the Journal of Trauma. J Trauma 2010;69:1011–21
  9. Ong CC, Toh L, Lo RH, Yap TL, Narasimhan K. Primary hepatic artery embolization in pediatric blunt hepatic trauma. J Pediatr Surg 2012;47:2316–20
  10. Notrica DM. Pediatric blunt abdominal trauma: current management. Curr Opin Crit Care 2015;21:531–7
  11. Wisner DH1, Kuppermann N, Cooper A, Menaker J, Ehrlich P, Kooistra J, et al. Management of children with solid organ injuries after blunt torso trauma. J Trauma Acute Care Surg 2015;79:206–14
  12. Cloutier DR, Baird TB, Gormley P, McCarten KM, Bussey JG, Luks FI. Pediatric splenic injuries with a contrast blush: successful nonoperative management without angiography and embolization. J Pediatr Surg 2004;39:969–71
  13. Potoka DA, Schall LC, Ford HR. Risk factors for splenectomy in children with blunt splenic trauma. J Pediatr Surg 2002;37:294–9
  14. Puapong D, Brown CV, Katz M, Kasotakis G, Applebaum H, Salim A, et al. Angiography and the pediatric trauma patient: a 10-year review. J Pediatr Surg 2006;41:1859–63
  15. Haan JM, Biffl W, Knudson MM, Davis KA, Oka T, Majercik S, et al. Splenic embolization revisited: a