Evidence map›Paper›PMID 37736986›Full record

ArticleTomography (Ann Arbor, Mich.)2023

Transcatheter Arterial Embolization for Bleeding Related to Pelvic Trauma: Comparison of Technical and Clinical Results between Hemodynamically Stable and Unstable Patients.

Roberto Minici, Michele Mercurio, Giuseppe Guzzardi, Massimo Venturini, Federico Fontana, Luca Brunese, Pasquale Guerriero, Raffaele Serra, Filippo Piacentino, Marco Spinetta and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Tomography (Ann Arbor, Mich.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  3. Review
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  7. Impact of Vasospasm on the Effects ofInterventional radiology (Higashimatsuyama-shi (Japan) · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Roberto MiniciRadiology Unit, Dulbecco University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0002-7680-0851
Michele MercurioDepartment of Orthopaedic and Trauma Surgery, Magna Græcia University, Dulbecco University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0002-8742-5612
Giuseppe GuzzardiRadiology Unit, Maggiore della Carità University Hospital, 28100 Novara, Italy.ORCID 0000-0002-0979-4519
Massimo VenturiniDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.
Federico FontanaDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-3809-5696
Luca BruneseDepartment of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.
Pasquale GuerrieroDepartment of Medicine and Health Sciences, University of Molise, 86100 Campobasso, Italy.ORCID 0000-0002-9525-100X
Raffaele SerraVascular Surgery Unit, Department of Medical and Surgical Sciences, Magna Graecia University of Catanzaro, Dulbecco University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0003-4477-7412
Filippo PiacentinoDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-0756-9967
Marco SpinettaRadiology Unit, Maggiore della Carità University Hospital, 28100 Novara, Italy.ORCID 0000-0001-8738-7962
Lorenzo ZappiaRadiology Unit, Dulbecco University Hospital, 88100 Catanzaro, Italy.
Davide CostaDepartment of Law, Economics and Sociology, Magna Graecia University of Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0002-9199-8755
Andrea CoppolaDiagnostic and Interventional Radiology Unit, ASST Settelaghi, Insubria University, 21100 Varese, Italy.ORCID 0000-0002-3840-6693
Mgjr Research TeamMagna Graecia Junior Radiologists Research Team, 88100 Catanzaro, Italy.
Olimpio GalassoDepartment of Orthopaedic and Trauma Surgery, Magna Græcia University, Dulbecco University Hospital, 88100 Catanzaro, Italy.
Domenico LaganàRadiology Unit, Dulbecco University Hospital, 88100 Catanzaro, Italy.ORCID 0000-0001-9158-0140
Magna Graecia University · ITUniversity of Insubria · ITUniversity of Molise · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndovascular intervention is now the primary line of therapy for arterial injury brought on by pelvic trauma since it can significantly reduce considerable morbidity associated with surgery and can swiftly access and control bleeding sites. Despite international guidelines and widespread awareness of the role of angioembolization in clinical practice, robust evidence comparing the outcomes of angioembolization in hemodynamically stable and unstable patients is still lacking. This study aims to directly compare the outcomes of angioembolization for the treatment of pelvic traumatic arterial injury in patients with hemodynamic stability vs. hemodynamic instability.

methodsIn our multicenter retrospective investigation, we analyzed data from consecutive patients who underwent, from January 2020 to May 2023, angioembolization for traumatic pelvic arterial injury.

resultsIn total, 116 angioembolizations were performed. Gelatin sponges (56.9%) and coils (25.9%) were the most widely used embolic agents. The technical and clinical success rates were 100% and 91.4%, respectively. No statistically significant differences were observed between the two groups in terms of technical success, clinical success, procedure-related complication rate, or 30-day bleeding-related mortality.

conclusionsAngioembolization is an effective and safe option for the management of traumatic pelvic arterial lesions even in hemodynamically unstable patients, despite technical variations such as greater use of prophylactic angioembolization.

Indexed as

Embolization, TherapeuticVascular DiseasesArteriesHumansPelvisRetrospective Studiesangioembolizationbleedingendovascularhemodynamic instabilityhemorrhagepelvic injurypercutaneousprophylactic embolizationtranscatheter arterial embolizationtrauma

Identifiers

PMID37736986
PMCPMC10514840
OpenAlexW4386349917

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.