Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study
Purpose Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2024-03-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0076.pdf |
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| author | Soonseong Kwon Kyounghwan Kim Soon Tak Jeong Joongsuck Kim Kwanghee Yeo Ohsang Kwon Sung Jin Park Jihun Gwak Wu Seong Kang |
| author_facet | Soonseong Kwon Kyounghwan Kim Soon Tak Jeong Joongsuck Kim Kwanghee Yeo Ohsang Kwon Sung Jin Park Jihun Gwak Wu Seong Kang |
| author_sort | Soonseong Kwon |
| collection | DOAJ |
| description | Purpose Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed by trauma surgeons. Methods We identified trauma patients who underwent emergency angiography due to significant trauma-related hemorrhage between January 2020 and June 2023 at Jeju Regional Trauma Center. Until May 2022, two dedicated interventional radiologists performed emergency angiography at our center. However, since June 2022, a trauma surgeon with a background and experience in vascular surgery has performed emergency angiography for trauma-related bleeding. The indications for trauma surgeon–performed angiography included significant hemorrhage from liver injury, pelvic injury, splenic injury, or kidney injury. We assessed the angiography results according to the operator of the initial angiographic procedure. The term “failure of the first angioembolization” was defined as rebleeding from any cause, encompassing patients who underwent either re-embolization due to rebleeding or surgery due to rebleeding. Results No significant differences were found between the interventional radiologists and the trauma surgeon in terms of re-embolization due to rebleeding, surgery due to rebleeding, or the overall failure rate of the first angioembolization. Mortality and morbidity rates were also similar between the two groups. In a multivariable logistic regression analysis evaluating failure after the first angioembolization, pelvic embolization emerged as the sole significant risk factor (adjusted odds ratio, 3.29; 95% confidence interval, 1.05–10.33; P=0.041). Trauma surgeon–performed angioembolization was not deemed a significant risk factor in the multivariable logistic regression model. Conclusions Trauma surgeons, when equipped with the necessary endovascular skills and experience, can safely perform angioembolization. To further improve quality control, an enhanced training curriculum for trauma surgeons is warranted. |
| format | Article |
| id | doaj-art-b47035992a8d43ad8c1be851c125d39a |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-b47035992a8d43ad8c1be851c125d39a2025-01-16T06:10:09ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-03-01371283610.20408/jti.2023.00761296Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective studySoonseong Kwon0Kyounghwan Kim1Soon Tak Jeong2Joongsuck Kim3Kwanghee Yeo4Ohsang Kwon5Sung Jin Park6Jihun Gwak7Wu Seong Kang8 Department of Emergency Medicine, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Physical Medicine and Rehabilitation, Ansanhyo Hospital, Ansan, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, Korea Department of Trauma Surgery, Jeju Regional Trauma Center, Cheju Halla General Hospital, Jeju, KoreaPurpose Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed by trauma surgeons. Methods We identified trauma patients who underwent emergency angiography due to significant trauma-related hemorrhage between January 2020 and June 2023 at Jeju Regional Trauma Center. Until May 2022, two dedicated interventional radiologists performed emergency angiography at our center. However, since June 2022, a trauma surgeon with a background and experience in vascular surgery has performed emergency angiography for trauma-related bleeding. The indications for trauma surgeon–performed angiography included significant hemorrhage from liver injury, pelvic injury, splenic injury, or kidney injury. We assessed the angiography results according to the operator of the initial angiographic procedure. The term “failure of the first angioembolization” was defined as rebleeding from any cause, encompassing patients who underwent either re-embolization due to rebleeding or surgery due to rebleeding. Results No significant differences were found between the interventional radiologists and the trauma surgeon in terms of re-embolization due to rebleeding, surgery due to rebleeding, or the overall failure rate of the first angioembolization. Mortality and morbidity rates were also similar between the two groups. In a multivariable logistic regression analysis evaluating failure after the first angioembolization, pelvic embolization emerged as the sole significant risk factor (adjusted odds ratio, 3.29; 95% confidence interval, 1.05–10.33; P=0.041). Trauma surgeon–performed angioembolization was not deemed a significant risk factor in the multivariable logistic regression model. Conclusions Trauma surgeons, when equipped with the necessary endovascular skills and experience, can safely perform angioembolization. To further improve quality control, an enhanced training curriculum for trauma surgeons is warranted.http://jtraumainj.org/upload/pdf/jti-2023-0076.pdfwounds and injuriesangiographyembolization |
| spellingShingle | Soonseong Kwon Kyounghwan Kim Soon Tak Jeong Joongsuck Kim Kwanghee Yeo Ohsang Kwon Sung Jin Park Jihun Gwak Wu Seong Kang Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study Journal of Trauma and Injury wounds and injuries angiography embolization |
| title | Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study |
| title_full | Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study |
| title_fullStr | Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study |
| title_full_unstemmed | Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study |
| title_short | Angioembolization performed by trauma surgeons for trauma patients: is it feasible in Korea? A retrospective study |
| title_sort | angioembolization performed by trauma surgeons for trauma patients is it feasible in korea a retrospective study |
| topic | wounds and injuries angiography embolization |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0076.pdf |
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