[The role of transarterial embolisation in the treatment of patients with abdominal injuries]. / Transarterielle Embolisation. Stellenwert in der Behandlung von Patienten mit Abdominaltrauma.
Chirurg
; 75(8): 789-93, 2004 Aug.
Article
in De
| MEDLINE
| ID: mdl-15118791
ABSTRACT
INTRODUCTION:
The role of transarterial embolisation in patients with abdominal injuries is controversial. Some trauma centres advocate routine angiography, whereas others believe in restricted indications such as increasing haematomas or persistent/recurrent haematuria.METHOD:
We prospectively studied 167 patients with blunt and penetrating abdominal trauma. We used restricted indications for angiography and embolisation.RESULTS:
Eleven of 167 patients with abdominal trauma (7%) were treated with angiography and embolisation., Overall, three of 11 patients (27%) with angiography and embolisation were treated emergently and eight of them (73%) at an average of 7.3 days. There were no complications due to the embolisation procedure, and all bleeding could be stopped.CONCLUSION:
Transarterial angiography and embolisation is an important and safe tool in the treatment of acute abdominal injury when used for restricted indications. We believe this should not be performed as a routine procedure, especially in unstable patients.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Wounds, Nonpenetrating
/
Wounds, Penetrating
/
Multiple Trauma
/
Embolization, Therapeutic
/
Abdominal Injuries
Type of study:
Observational_studies
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
De
Journal:
Chirurg
Year:
2004
Document type:
Article