Catheter-based endovascular damage-control (CDET): current status and future directions.
Paula Ferrada1, Rahul J Anand, Michel Aboutanos
1Trauma, Critical Care and Emergency Surgery, West Hospital, Virginia Commonwealth University, P.O. Box 980454, 15th Floor East, 1200 E. Broad Street, Richmond, VA, 23298, USA, pferrada@mcvh-vcu.edu.
World Journal of Surgery
|October 2, 2013
Summary
Catheter-based endovascular damage-control techniques (CDET) are increasingly used by trauma surgeons in Latin America. Further research is needed to define the trauma surgeon's role and training in endovascular procedures.
Area of Science:
- Trauma Surgery
- Endovascular Interventions
- Vascular Trauma Management
Background:
- Endovascular technology has advanced vascular trauma management.
- Catheter-based endovascular damage-control techniques (CDET) represent innovative strategies.
- The study focuses on the adoption of CDET in the Americas.
Purpose of the Study:
- To evaluate the current utilization of CDET.
- To assess the role of trauma surgeons in performing CDET.
- To understand the perspectives on CDET integration in trauma care across North, Central, and South America.
Main Methods:
- A survey was distributed to leaders within trauma surgery societies in Latin America.
- The survey utilized the Research Electronic Data Capture (REDCap) tool for data collection.
- Response rate was 85% with participation from 15 countries.
Main Results:
- North American centers possess CDET capabilities but do not utilize trauma surgeons for these procedures.
- In Central and South America, 64% have interventional radiology services, and 56% of trauma surgeons perform CDET.
- A significant majority (88%) believe CDET improves patient care, 86% desire training, and 68% see financial benefits.
Conclusions:
- Trauma and acute care surgeons in Latin America are actively performing CDET.
- Further investigation is required to clarify the trauma surgeon's role in endovascular suites.
- Defining necessary training requirements for trauma surgeons in CDET is essential.
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