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Use of angiographic embolization in trauma-induced pediatric abdominal solid organ injuries

Kubilay Gürünlüoğlu1, Canan Ceran1, İsmail Okan Yıldırım2

  • 1Department of Pediatric Surgery, İnönü University Faculty of Medicine, Turgut Özal Medical Center, Malatya-Turkey.

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|May 29, 2019
PubMed

Insights

Angiographic embolization (AE) effectively controls bleeding in pediatric blunt abdominal trauma. This study shows AE is safe and leads to full recovery in children with solid organ injuries.

Area of Science:

  • Pediatric Trauma Surgery
  • Interventional Radiology
  • Solid Organ Injury Management

Background:

  • Limited data exists on angiographic embolization (AE) for pediatric blunt abdominal solid organ trauma.
  • Persistent bleeding is a significant concern in these injuries.

Purpose of the Study:

  • To evaluate the efficacy and reliability of AE in controlling hemorrhage in pediatric patients with blunt abdominal solid organ injuries.

Main Methods:

  • Retrospective analysis of patients under 17 years old with blunt abdominal solid organ injury.
  • Data collected from a single institution over a 4-year period.
  • Statistical analysis of patient outcomes.

Main Results:

  • Patients undergoing AE had a mean ICU stay of 4 days and hospital stay of 12 days.
  • Significant reduction in blood loss observed post-AE (hematocrit change: -7.33% pre-AE vs. 2% post-AE).
  • All patients achieved full recovery and were discharged.

Conclusions:

  • Angiographic embolization is a safe and effective treatment for solid organ hemorrhage in pediatric blunt abdominal trauma.
  • AE demonstrates utility in managing persistent bleeding in this patient population.
Abstract

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