Does transarterial pelvic embolization have a negative effect on perioperative outcomes in pelvic ring injury and acetabular fracture?

Asian Journal of Surgery

Jae Hun Kim¹  Sang Jin Cheon²  Tae Young Ahn²  Seok Jin Jung²  Jae Hoon Jang³  Chang Ho Jeon⁴ 

[1] Corresponding author. Department of Orthopaedic Surgery, Trauma Center, Bio-medical Research Institute, Pusan National University Hospital, 179 Gudeok-Ro Seo-Gu, Busan, 49241, Republic of Korea.;Department of Orthopaedic Surgery, Bio-medical Research Institute, Pusan National University Hospital, Republic of Korea;Department of Orthopaedic Surgery, Bio-medical Research Institute, Trauma Center, Pusan National University Hospital, Republic of Korea;Department of Trauma Surgery, Trauma Center, Pusan National University Hospital, Republic of Korea;

关键词: Pelvic ring injury;    Acetabular fracture;    Transarterial embolization;    Perioperative outcome;   

DOI  :  

来源: DOAJ

【 摘 要 】

Summary:Objective: The purpose of this study was to determine whether TAE negatively impacted perioperative outcomes in patients who underwent open surgery for pelvic trauma. Methods: We retrospectively reviewed the medical records and radiographs of patients who had open surgery for an acute pelvic trauma between February 2014 and May 2017. The patients were classified into two groups: those who underwent TAE and those who did not. We evaluated preoperative demographics and perioperative outcomes between the two groups. Injury type-specific comparisons were also performed. Results: A total of 136 patients (50 TAE and 86 non-TAE) were included in this study. There were significant differences in preoperative demographics including the type of injury, injury severity score, revised trauma score, surgical approach, initial blood pressure, and the amount of transfusion within 24 h between the two groups. However, no differences in perioperative outcomes were identified except for the amount of total transfusion. There were significant differences between the two groups in the injury type-specific comparisons, specifically in the amount of transfusion within 24 h in patients with pelvic ring injury and in the injury severity score in patients with acetabular fracture. However, there was no difference in perioperative outcomes between the groups for either injury type. Conclusion: In the present study, we were unable to identify negative effects of TAE on perioperative outcomes. Therefore, when considering open surgery subsequent to TAE, there is no evidence of increased risk for negative perioperative outcomes, especially with respect to bone healing and deep infection.

【 授权许可】

Unknown