Skip to main content

Acute Hemorrhage and Trauma

  • Chapter
  • First Online:
Transradial Access in Interventional Radiology
  • 532 Accesses

Abstract

Interventional radiology exists to provide treatment to patients with minimal invasiveness. Nowhere is that imperative clearer than in the techniques employed for the treatment of hemorrhage. Patients who would once have undergone an open laparotomy for bleeding in the abdomen can now be treated in the angiosuite, leaving in stable condition with a small bandage rather than a massive suture line. With the advent of radial artery access, procedure-related morbidity in the treatment of hemorrhage has never been lower. In this chapter, common techniques used for the treatment of hemorrhage in the thorax, abdomen, and pelvis are discussed. A common set of tools can be used for almost all sites of hemorrhage when approached from the left radial artery, and a toolset for each example case is included in each section. These standard approaches may always be modified and updated as needed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wortman JR, Landman W, Fulwadhva UP, Viscomi SG, Sodickson AD. CT angiography for acute gastrointestinal bleeding: what the radiologist needs to know. Br J Radiol. 2017;90(1075):20170076. https://doi.org/10.1259/bjr.20170076.

  2. Muhammad A, Awais M, Sayani R, et al. Empiric Transcatheter Arterial Embolization for Massive or Recurrent Gastrointestinal Bleeding: Ten-year Experience from a Single Tertiary Care Center. Cureus. 2019;11(3):e4228. Published 2019 Mar 11. https://doi.org/10.7759/cureus.4228.

  3. Titano JJ, Biederman DM, Zech J, et al. Safety and Outcomes of Transradial Access in Patients with International Normalized Ratio 1.5 or above. J Vasc Interv Radiol. 2018;29(3):383–88. https://doi.org/10.1016/j.jvir.2017.11.010.

  4. Yata S, Ohuchi Y, Adachi A, Endo M, Takasugi S, Tsukamoto K, Matsumoto K, Kodani M, Makishima J, Fujii S. Is glue embolization safe and effective for gastrointestinal bleeding?. Int J Gastrointest Interv 2018;7:158–61. https://doi.org/10.18528/gii180030.

  5. Encarnacion CE, Kadir S, Beam CA, Payne CS. Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology. 1992;183(2):505–08. https://doi.org/10.1148/radiology.183.2.1561358.

  6. Fernández de Sevilla Gómez E, Vallribera Valls F, Espin Basany E, et al. Postoperative small bowel and colonic anastomotic bleeding. Therapeutic management and complications. Cir Esp. 2014;92(7):463–67. https://doi.org/10.1016/j.ciresp.2014.03.002.

  7. Pham T, Tran BA, Ooi K, et al. Super-Selective Mesenteric Embolization Provides Effective Control of Lower GI Bleeding. Radiol Res Pract. 2017;2017:1074804. https://doi.org/10.1155/2017/1074804.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kestenbaum, D., Blue, R. (2022). Acute Hemorrhage and Trauma. In: Fischman, A.M., Patel, R.S., Lookstein, R.A. (eds) Transradial Access in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-81678-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-81678-0_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81677-3

  • Online ISBN: 978-3-030-81678-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics