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Trauma Surgery pp 109-119 | Cite as

Minimally Invasive Approach and Endovascular Techniques for Vascular Trauma

  • Joseph J. DuBose
  • Megan Brenner
  • Thomas M. ScaleaEmail author
Chapter

Abstract

Vascular injury continues to be associated with high morbidity and mortality rates, requiring timely and effective management in the earliest phases after injury in order to optimize outcomes. The management of these injuries has traditionally required operative surgical intervention. In recent years, however, the evolution of endovascular technologies has expanded the therapeutic modalities available to trauma providers. Endovascular intervention for vascular injury may particularly hold promise in the treatment of vascular injuries at locations that demand complex or challenging exposures in order to facilitate effective repair.

Hybrid approaches, designed to facilitate expeditious proximal vascular control and provide time for improved exposure and open repair, have also been suggested as promising roles for these evolving technologies. The optimal role of endovascular treatment for vascular injury, however, requires additional investigation. The deficiency of outcomes data compared to open repair and the absence of consensus indications require further study in order to adequately define the role of endovascular technologies in vascular injury treatment algorithms.

Keywords

Vascular Injury Endovascular Intervention Vascular Trauma Open Surgical Intervention Thoracic Endovascular Aortic Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

(WMV 860 kb)

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Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Joseph J. DuBose
    • 1
  • Megan Brenner
    • 1
  • Thomas M. Scalea
    • 1
    Email author
  1. 1.Department of Surgery, R Adams Cowley Shock Trauma CenterUniversity of Maryland Medical SystemBaltimoreUSA

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