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IR Playbook pp 371-377 | Cite as

Pelvic and Extremity Trauma

  • Howard M. Richard
Chapter

Abstract

Pelvic and extremity trauma is the result of penetrating or blunt trauma alone or in combination which may result in hemorrhage or ischemia. Both scenarios can result in limb loss and potentially fatal outcomes. Initial resuscitative management of these patients is based on control of bleeding and restoration of flow to the distal extremity. Traditionally, this has been managed by surgical exploration. More recently, endovascular techniques have advanced to the point where these patients can be managed percutaneously. In the case of bleeding, transcatheter embolization is a safe and effective method for the control of ongoing hemorrhage in pelvic and extremity trauma. In the case of ischemia, injuries such as arterial dissections can be managed with percutaneous stent repair to restore flow to the distal aspect of the extremity.

Keywords

Trauma Angiography Embolization 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Interventional Radiology, Department of Diagnostic Radiology and Nuclear MedicineUniversity of Maryland School of Medicine, University of Maryland Medical CenterBaltimoreUSA

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