Abstract
Introduction
Endovascular technology during the past decade has introduced innovative strategies to manage vascular trauma. The purpose of this study was to evaluate the current use catheter-based endovascular damage-control techniques (CDET) in North, Central, and South America.
Methods
A survey was sent to the presidents of local societies in Latin America, members of the board, and past presidents of the Pan-American Trauma Society. The survey was sent using the Research Electronic Data Capture collection tool.
Results
A total of 67 surveys were sent with an 85 % response rate. Surgeons from 15 countries participated in the survey. All of the centers in North America had capabilities to perform these procedures. In none of these centers, however, were they performed by trauma and acute care surgeons. In Central and South America, 64 % of the surgeons responded that they have an interventional radiology service, and in 56 % of the cases, trauma and acute care surgeons were already performing CDET. Eight-eight percent of those surveyed thought that the addition of CDET to trauma would improve patient care; 86 % would be interested in further training in this technique if such programs were available. Finally, 68 % thought that the addition of CDET would help the field of acute care surgery and trauma financially.
Conclusions
CDET is being performed already by trauma and acute care surgeons in Latin American countries. More research is necessary to evaluate the role of the trauma surgeon in the endovascular suite as well as training requirements.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
du Toit DF, Lambrechts AV, Stark H, Warren BL (2008) Long-term results of stent graft treatment of subclavian artery injuries: management of choice for stable patients? J Vasc Surg 47:739–743
Kato N, Dake MD, Miller DC et al (1997) Traumatic thoracic aortic aneurysm: treatment with endovascular stent-grafts. Radiology 205:657–662
Feliciano DV, Shackford SR (2010) Vascular injury: 50th anniversary year review article of The Journal of Trauma. J Trauma 68:1009–1013
Reuben BC, Whitten MG, Sarfati M, Kraiss LW (2007) Increasing use of endovascular therapy in acute arterial injuries: analysis of the National Trauma Data Bank. J Vasc Surg 46:1222–1226
Demetriades D, Velmahos GC, Scalea TM et al (2009) Blunt traumatic thoracic aortic injuries: early or delayed repair—results of an American Association for the Surgery of Trauma prospective study. J Trauma 66:967–973
Demetriades D, Velmahos GC, Scalea TM et al (2008) Diagnosis and treatment of blunt thoracic aortic injuries: changing perspectives. J Trauma 64:1415–1418
Demetriades D, Velmahos GC, Scalea TM et al (2008) Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 64:561–570
Karmy-Jones R, Ferrigno L, Teso D, Long WB III, Shackford S (2011) Endovascular repair compared with operative repair of traumatic rupture of the thoracic aorta: a nonsystematic review and a plea for trauma-specific reporting guidelines. J Trauma 71:1059–1072
Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42:377–381
Rotondo MF, Schwab CW, McGonigal MD et al (1993) “Damage control”: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma 35:375–382
Bickell WH, Wall MJ Jr, Pepe PE et al (1994) Immediate versus delayed fluid resuscitation for hypotensive patients with penetrating torso injuries. N Engl J Med 331:1105–1109
O’Malley E, Boyle E, O’Callaghan A, Coffey JC, Walsh SR (2013) Role of laparoscopy in penetrating abdominal trauma: a systematic review. World J Surg 37(1):113–122
Abolhoda A, Livingston DH, Donahoo JS, Allen K (1997) Diagnostic and therapeutic video assisted thoracic surgery (VATS) following chest trauma. Eur J Cardiothorac Surg 12:356–360
Ferrada P, Anand RJ, Whelan J et al (2012) Qualitative assessment of the inferior vena cava: useful tool for the evaluation of fluid status in critically ill patients. Am Surg 78:468–470
Ferrada P, Anand RJ, Whelan J et al (2011) Limited transthoracic echocardiogram: so easy any trauma attending can do it. J Trauma 71:1327–1331
Rozycki GS, Ochsner MG, Schmidt JA et al (1995) A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma 39:492–498
Rozycki GS, Ballard RB, Feliciano DV, Schmidt JA, Pennington SD (1998) Surgeon-performed ultrasound for the assessment of truncal injuries: lessons learned from 1540 patients. Ann Surg 228:557–567
Dente CJ, Feliciano DV (2011) Torso vascular trauma at an urban level-I trauma center. Perspect Vasc Surg Endovasc Ther 23:36–46
Goaley TJ, Dente CJ, Feliciano DV (2006) Torso vascular trauma at an urban level I trauma center. Perspect Vasc Surg Endovasc Ther 18:102–112
Sullivan PS, Dente CJ, Patel S et al (2010) Outcome of ligation of the inferior vena cava in the modern era. Am J Surg 199:500–506
Peitzman AB (2008) Status of trauma and acute care surgery in the United States. Ulus Travma Acil Cerrahi Derg 14:1–4
Ball CG, Kirkpatrick AW, Rajani RR et al (2009) Temporary intravascular shunts: when are we really using them according to the NTDB? Am Surg 75:605–607
Dente CJ, Shaz BH, Nicholas JM et al (2009) Improvements in early mortality and coagulopathy are sustained better in patients with blunt trauma after institution of a massive transfusion protocol in a civilian level I trauma center. J Trauma 66:1616–1624
Dente CJ, Shaz BH, Nicholas JM et al (2010) Early predictors of massive transfusion in patients sustaining torso gunshot wounds in a civilian level I trauma center. J Trauma 68:298–304
Morse BC, Dente CJ, Hodgman EI et al (2012) Outcomes after massive transfusion in nontrauma patients in the era of damage control resuscitation. Am Surg 78:679–684
Subramanian A, Vercruysse G, Dente C, Wyrzykowski A, King E, Feliciano DV (2008) A decade’s experience with temporary intravascular shunts at a civilian level I trauma center. J Trauma 65:316–324
Ordonez CA, Puyana JC (2006) Management of peritonitis in the critically ill patient. Surg Clin North Am 86:1323–1349
Ordonez CA, Pino LF, Tejada JW et al (2012) Experience of two first level hospitals in the southwest region of Colombia on the implementation of the Pan-American Trauma Society International Trauma Registry. Rev Col Bras Cir 39:255–262
Aboutanos MB, Jordan A, Cohen R et al (2011) Brief violence interventions with community case management services are effective for high-risk trauma patients. J Trauma 71:228–236
Aboutanos MB, Rodas EB, Aboutanos SZ et al (2007) Trauma education and care in the jungle of Ecuador, where there is no advanced trauma life support. J Trauma 62:714–719
Frankel HL, Butler KL, Cuschieri J et al (2012) The role and value of surgical critical care, an essential component of acute care surgery, in the affordable care act: a report from the Critical Care Committee and Board of Managers of the American Association for the Surgery of Trauma. J Trauma Acute Care Surg 73:20–26
Acknowledgments
P.F. and R.I. conceived of and designed this study. P.F. collected and assembled the data. P.F., R.I, M.A and R.J.A. analyzed the data, which P.F. and R.J.A. interpreted. All authors participated in writing the manuscript. Thank you to Dr Lina V Mata for her help setting up the survey.
Disclosures
The authors declare no conflicts of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ferrada, P., Anand, R.J., Aboutanos, M. et al. Catheter-Based Endovascular Damage-Control (CDET): Current Status and Future Directions. World J Surg 38, 330–334 (2014). https://doi.org/10.1007/s00268-013-2263-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00268-013-2263-7