{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:55:02Z","timestamp":1785261302490,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T00:00:00Z","timestamp":1647648000000},"content-version":"vor","delay-in-days":77,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Limited information exists on the factors associated with prolonged procedural time in embolization for trauma patients. We clarified the clinical application of embolization in trauma patients and factors associated with a prolonged procedure time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of 162 trauma patients who underwent embolization between January 2007 and December 2020 at a regional trauma care center were reviewed retrospectively. Patients were divided into four embolized body regions: chest, abdomen, pelvis, and other. Patient demographics, trauma mechanism, physiology, trauma severity, embolization procedures, and 30\u2010day mortality were examined. The outcomes were identifying an embolized body region, embolized arteries, and procedure time. Multiple regression model was created to investigate the factors associated with prolonged procedural time in embolization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Embolization was mainly undertaken in pelvic fractures (<jats:italic>n<\/jats:italic>\u2009=\u200996, 59%) and abdominal organ injuries (<jats:italic>n<\/jats:italic>\u2009=\u200957, 35%) and extended to the chest (<jats:italic>n<\/jats:italic>\u2009=\u200917, 10%), and other (<jats:italic>n<\/jats:italic>\u2009=\u200920, 12%). Approximately 13% (<jats:italic>n<\/jats:italic>\u2009=\u200921) of patients underwent embolization in two or more regions. Embolization was more strictly performed in minor artery injuries, for example, external iliac (<jats:italic>n<\/jats:italic>\u2009=\u200915, 16%) and lumbar artery (<jats:italic>n<\/jats:italic>\u2009=\u200922, 23%) branches in pelvic fractures, and inferior phrenic artery (<jats:italic>n<\/jats:italic>\u2009=\u20092, 3.5%) branches in liver injuries. Multiple regression model indicated that the number of embolized arteries (<jats:italic>P<\/jats:italic>\u2009=\u20090.021) and number of embolized regions (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) were associated with prolonged procedural time in embolization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Embolization for trauma patients extended to various trauma regions. In time\u2010sensitive embolization, emergency interventional radiologists showed superior knowledge of expected embolizing arteries and factors associated with procedure time.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.743","type":"journal-article","created":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T13:09:33Z","timestamp":1647695373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Factors associated with prolonged procedure time of embolization for trauma patients"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8239-8822","authenticated-orcid":false,"given":"Makoto","family":"Aoki","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"},{"name":"Advanced Medical Emergency Department and Critical Care Center Japan Red Cross Maebashi Hospital  Maebashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shokei","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukitoshi","family":"Toyoda","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satomi","family":"Senoo","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukio","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Radiology Saiseikai Yokohamashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Fukada","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Funabiki","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Saiseikai Yokohmashi Tobu Hospital  Yokohama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2017.10.001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002079"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31802e4072"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002668"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002967"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-017-0117-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-017-0151-4"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0274-x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000001554"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-5-18"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2012.12.006"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.07.002"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000002851"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-015-0052-3"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200006000-00024"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.10.27"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-002-0226-7"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2015.07.001"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-021-00366-z"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.12.021"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003486"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-021-00881-7"}],"container-title":["Acute Medicine &amp; 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