부산대학교 도서관

Background：Major vascular emergencies such as traumatic aortic injury and ruptured aneurysms have a high mortality rate, and treatment remains difficult. Rapid diagnosis and treatment are essential for saving lives; however, reducing hemorrhage control time and providing curative treatment is challenging. Our hospital has a hybrid ER （HER） equipped with self-propelled computed tomography and fluoroscopic equipment that enables seamless diagnosis to treatment without transportation. This study aimed to review the outcomes of stent graft treatment for macrovascular emergencies. Methods：We retrospectively reviewed 17 patients （13 males, 4 females） treated with stent grafting in our HER between January 1, 2018, and July 31, 2022. Results：We identified four patients with blunt thoracic aortic injuries, two with blunt abdominal aortic injuries, four with ruptured thoracic aortic aneurysms, and seven with ruptured abdominal aortic aneurysms. The median time from hospital arrival to the start of the procedure was 81 minutes, and there were three early deaths. Conclusion：Stent grafting in the HER for major vascular emergencies allowed seamless resuscitation, diagnosis, and treatment. The HER eliminated the need for patient transfer and was particularly useful for traumatic injuries, where multiple treatments for multiple injuries were possible.