caa a22 4500 47580323X CHVBK 20180406123743.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s002689910087 doi (NATIONALLICENCE)springer-10.1007/s002689910087 Angiographic Embolization for Intraperitoneal and Retroperitoneal Injuries [Elektronische Daten] [George C. Velmahos, Santiago Chahwan, Andres Falabella, Sue Ellen Hanks, Demetrios Demetriades] Abstract.: Angiographic embolization (AE) has been used extensively for bleeding control after injuries to the face and neck. Its role in abdominal trauma requires further exploration. We reviewed the medical records of 137 consecutive patients who underwent angiography with the intent to embolize bleeding sites within the abdomen. Of them, 97 (71%) had blunt and 40 (29%) had penetrating trauma. AE was performed for hemorrhage associated with pelvic fractures (97 patients), liver lacerations (n= 26), renal lacerations (n= 12), splenic lacerations (n= 5), other injuries (n= 9), and multiple injuries (n= 12). On angiography, 102 patients were found to have bleeding sites and underwent AE, with angiographic and clinical bleeding control in 93 (91%). The rate of successful hemostasis by AE was identical in blunt and penetrating trauma patients. There was no major morbidity after AE. No factors predicted patients with a high likelihood to have a positive angiogram. Patients who had AE before or after a period of attempted hemodynamic stabilization in the intensive care unit were no different with respect to hemodynamic parameters immediately before AE or effectiveness of AE for bleeding control. AE is a safe and effective method for controlling bleeding after blunt and penetrating intra- and retroperitoneal injuries. Early AE may be used in selected patients as a front-line therapeutic intervention that offers expeditious hemostasis and prevents delays in definitive bleeding control. 2000 by the Société Internationale de Chir, 2000 Velmahos George C. Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut Chahwan Santiago Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut Falabella Andres Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut Hanks Sue Ellen Department of Radiology, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 3550, Los Angeles, California 90033, USA, US aut Demetriades Demetrios Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 539-545 0364-2313 24:5<539 2000 24 268 https://doi.org/10.1007/s002689910087 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689910087 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Velmahos George C. Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut NATIONALLICENCE 700 1- Chahwan Santiago Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut NATIONALLICENCE 700 1- Falabella Andres Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut NATIONALLICENCE 700 1- Hanks Sue Ellen Department of Radiology, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 3550, Los Angeles, California 90033, USA, US aut NATIONALLICENCE 700 1- Demetriades Demetrios Department of Surgery, Division of Trauma and Critical Care, University of Southern California and the Los Angeles County + USC Medical Center, 1200 North State Street, Room 9900, Los Angeles, California 90033, USA, US aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/5(2000-05-01), 539-545 0364-2313 24:5<539 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer