Hybrid Trauma Management: Is It the Way We Are Heading?

Authors

  • Maya Paran
  • Boris Kessel

DOI:

https://doi.org/10.26676/jevtm.v4i2.135

Keywords:

EVTM, Hybrid Trauma Management, Hybrid ER, Hybrid OR

Abstract

Background: Hybrid trauma management, namely the combination of open and endovascular techniques and/or the application of endovascular methods in the operating/emergency room, is a quickly growing concept worldwide. However, its implications are not well established. We aimed to review the current data regarding hybrid trauma management in medical literature.

Methods: A review of the medical literature published between 2000 and 2020 using PubMed, Cochrane, Embase and Medline databases was performed in search of clinical studies regarding hybrid trauma treatments. Case-reports were excluded from this review. The manuscripts were analyzed regarding the mechanism, location, and type of injury, endovascular and surgical techniques utilized, and the outcome.

Results: In total, 14 studies reporting hybrid trauma management in a total of 1,049 patients met the inclusion criteria and were analyzed. Blunt trauma was the leading trauma mechanism (87.1%) and the most common procedure was transcatheter arterial embolization, performed in 29.7% of patients. The overall mortality was 15.2%. Regarding case-control studies, 85.7% have shown hybrid trauma management to be associated with a shorter time from arrival to intervention, 42.9% reported lower rates of unfavorable outcome, and 28.6% reported reduced requirement for red blood cell transfusion as compared with conventional management.

Conclusions: Accumulating data suggests that hybrid management may be associated with a shorter time from arrival to intervention, lower rates of unfavorable outcomes and a reduced requirement for red blood cell transfusion as compared with conventional management of trauma patients.

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Published

2020-10-29

How to Cite

Paran, M., & Kessel, B. (2020). Hybrid Trauma Management: Is It the Way We Are Heading? . Journal of Endovascular Resuscitation and Trauma Management, 4(2), 101–108. https://doi.org/10.26676/jevtm.v4i2.135

Issue

Section

Narrative Review Articles

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