Trading scalpels for sheaths: Catheter-based treatment of vascular injury can be effectively performed by acute care surgeons trained in endovascular techniques

The Journal of Trauma and Acute Care Surgery
Megan BrennerThomas Scalea

Abstract

The skill set of the acute care surgeon can be expanded by formal training. We report the first series of traumatic vascular injury (TVI) treated by acute care surgeons trained in endovascular techniques (ACSTEV). We retrospectively reviewed patients admitted to our trauma center with TVI over 5 months who survived for more than 24 hours and had catheter diagnosis and/or therapy by ACSTEV. Demographics, admission data, and outcomes were reviewed. Follow-up ranged from 0 day to 150 days. Most patients were male (63%) and sustained blunt mechanism (91%). Mean (SD) age was 48.2 (21.9) years, and mean (SD) Injury Severity Score was 32.1 (11.8). Mean (SD) admission systolic blood pressure, heart rate, Glasgow Coma Scale (GCS) score were 126.12 (30.4) mm Hg, 101.21 (28.2) beats per minute, and 10.8 (4.73), respectively. Forty-six patients underwent 48 endovascular procedures for TVI: 32 angiograms and 16 venograms were obtained. Two pelvic angiograms and one aortic arch angiogram were negative and required no treatment. One superficial femoral artery arteriogram showed minor luminal defects requiring anticoagulation only. Pseudoaneurysms were found in 17 vessels, vessel truncation in 4, active extravasation in 5, stenosis in 1, and d...Continue Reading

References

Oct 1, 1976·Southern Medical Journal·K I Maull, C R Sachatello
Oct 1, 1975·The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine·V P ChuangJ J Bookstein
May 1, 1982·The Journal of Trauma·S J SclafaniJ McAuley
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·Laura E AveryJason L Sperry
Oct 4, 2013·The Journal of Trauma and Acute Care Surgery·Megan L BrennerTodd E Rasmussen
May 23, 2014·AJR. American Journal of Roentgenology·Bahman S RoudsariSharon W Kwan

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Citations

Oct 22, 2016·The Journal of Trauma and Acute Care Surgery·M Austin JohnsonUNKNOWN EVAC Study Group
Apr 18, 2019·Vascular and Endovascular Surgery·Julia D Glaser, Venkat R Kalapatapu
Apr 5, 2017·The Journal of Trauma and Acute Care Surgery·Joseph J DuBose
Mar 18, 2017·Current Trauma Reports·D C OlthofJ C Goslings
Jul 30, 2019·Annals of Surgery·Jonathan J MorrisonThomas M Scalea
Aug 2, 2021·Journal of Vascular and Interventional Radiology : JVIR·R Peter Lokken, Miles B Conrad
Jun 11, 2021·The Journal of Trauma and Acute Care Surgery·Joseph Alden HerroldJonathan J Morrison

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