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Interventional Angiography Damage Control

  • Damage Control Beyond The Abdomen (E Degiannis, Section Editor)
  • Published:
Current Trauma Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review aims to highlight the contribution of Interventional Radiology in the setting of vascular trauma beyond the abdomen and present the latest innovations in this field.

Recent Findings

A shift from surgical operative management to endovascular management has occurred over the past decade. Critically ill patients are treated in hybrid operating rooms, by methods of damage control interventional radiology at the same time that resuscitation and trauma evaluation take place.

Summary

Hemorrhagic shock is one the leading causes of death. Transarterial embolization (TAE), stent graft deployment, and/or balloon occlusion can expeditiously stop hemorrhage and prevent exsanguination in a patient in extremis. Avoiding the additional physiological stress of the traditional surgical approach, these minimally invasive methods can be performed under moderate sedation and are associated with low morbidity and reduced hospital stays. As interventional angiography is rapidly expanding and evolving, so do its applications in traumatic vascular injuries of the head, neck, thorax, pelvis, and extremities.

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  1. 2nd Department of Radiology, Division of Interventional Radiology, School of Medicine, National and Kapodistrian University of Athens, “Attikon” University Hospital, Athens, Greece

    Stavros Spiliopoulos, Nikiforos Vasiniotis Kamarinos & Elias Brountzos

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  1. Stavros Spiliopoulos
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  2. Nikiforos Vasiniotis Kamarinos
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  3. Elias Brountzos
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Correspondence to Stavros Spiliopoulos.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Damage Control Beyond The Abdomen

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Spiliopoulos, S., Vasiniotis Kamarinos, N. & Brountzos, E. Interventional Angiography Damage Control. Curr Trauma Rep 4, 187–198 (2018). https://doi.org/10.1007/s40719-018-0135-1

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