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KMID : 1151820120060020107
Journal of the Korean Society of Radiology
2012 Volume.6 No. 2 p.107 ~ p.114
The Usefullness of Percutaneous Transarterial Embolization in Patients with Severe Multiple Traumas
You In-Gyu

Lim Cheong-Hwan
Abstract
The study was conducted in patients who had undergone angiography and arterial embolization after being diagnosed with arterial bleeding among those registered with severe trauma at the admission to the department of emergency due to accidents. In the study, comparison was done between the survived group and the nonsurvived group to investigate the usefulness and the optimal performance timing of angiography and embolization as the survival-affecting factors and treatment methods for patients. The study was performed as a retrospective analysis in 45 patients who had undergone angiography and arterial embolization among those categorized as severe trauma patients from the emergency department of H hospital located in Gyeonggi-do from July, 2006 until December, 2010. The Injury Severity Score (ISS), the Revised Trauma Score (RTS), the hematocrit were the main outcome measurements. Arterial embolization was technically successful in all cases, transcatheter arterial embolization of arterial bleeding is a useful procedure in lowering the mortality and complication in severe trauma patients. and RTS, ISS, Hematocrit were the predictable early mortality factors. So bad vital sign patients must be progressed rapidly.
KEYWORD
Embolization, RTS, ISS, Hematocrit, Glasgow coma scale
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