Abstract
Interventional radiology in trauma patients is taking place year after year in almost all the validated guidelines for the management of these patients, becoming one of the cornerstones of nonoperative management. Arterial bleeding, one of the most dangerous complications after vessel and organ traumas, can be quickly managed conservatively through an endovascular approach, preventing surgical management. Nowadays, a readily available angio suite and angio team is a fundamental tool in every emergency department. In the specific setting of the high-risk surgical patient, the low invasivity of interventional radiology is of fundamental importance.
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References
Rotondo MF, Cribari C, Smith RS. Resource for optimal care of the injured patient. The American College of Surgeons; 2014.
Moore LJ, Fox EE, Meyer DE, et al. Prospective observational evaluation of the ER-REBOA catheter at 6 U.S. Trauma Centers. Ann Surg. 2020;
Wheatley GH, Gurbuz AT, Rodriguez-Lopez JA, et al. Midterm outcome in 158 consecutive Gore TAG thoracic endoprostheses: single center experience. Ann Thorac Surg. 2006;81(5):1570–7.
Fabian TC, Richardson JD, Croce MA, et al. Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma. 1997;42:374–80.
Fox N, Schwartz D, Salazar JH, et al. Evaluation and management of blunt traumatic aortic injury: a practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg. 2015;78:136–46.
Alkadhi H, Wildermuth S, Desbiolles L, et al. Vascular emergencies of the thorax after blunt and iatrogenic trauma: multi-detector row CT and three-dimensional imaging. Radiographics. 2004;24:1239–55.
Azizzadeh A, Keyhani K, Miller CC, et al. Blunt traumatic aortic injury: initial experience with endovascular repair. J Vasc Surg. 2009;49:1403–8.
Homma H, Yukioka T, Ishimaru S, et al. Two-year follow-up after multiple injuries treated with endovascular stentgrafting of aorta and transcatheter arterial embolization of spleen: minimal invasive surgery for an elderly patient. J Trauma. 2002;52:382–6.
Cowley RA, Turney SZ, Hankins JR, et al. Rupture of thoracic aorta caused by blunt trauma. A fifteen-year experience. J Thorac Cardiovasc Surg. 1990;100:652–60.
Ott MC, Stewart TC, Lawlor DK, et al. Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma. 2004;56:565–70.
Lee WA, Matsumura JS, Mitchell RS, et al. Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the Society for Vascular Surgery. J Vasc Surg. 2011;53:187–92.
Murad MH, Rizvi AZ, Malgor R, et al. Comparative effectiveness of the treatments for thoracic aortic transection. J Vasc Surg. 2011;53(193–199):e191–21.
Padia SA, Ingraham CR, Moriarty JM, et al. Society of interventional radiology position statement on endovascular intervention for trauma. J Vasc Interv Radiol. 2020;31(3):363–9. e2
Kirkpatrick AW, Sirois M, Ball CG, et al. The handheld ultrasound examination for penetrating abdominal trauma. Am J Surg. 2004;187(5):660–5.
Stassen NA, Bhullar I, Cheng JD, et al. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5 Suppl. 4):S288–93.
Mutschler M, Nienaber U, Brockamp T, et al. Renaissance of base deficit for the initial assessment of trauma patients: a base deficit-based classification for hypovolemic shock developed on data from 16,305 patients derived from the TraumaRegister DGU®. Crit Care. 2013;17:R42.
American College of Surgeon’s Commitee on Trauma. Advanced Trauma Life Support® (ATLS®) student manual. 9th ed. Chicago: American College of Surgeon; 2012.
Coccolini F, Coimbra R, Ordonez C, et al. Liver trauma: WSES 2020 guidelines. World J Emerg Surg. 2020;15(1):24.
Schwartz RA, Teitelbaum GP, Katz MD, et al. Effectiveness of transcatheter embolization in the control of hepatic vascular injuries. J Vasc Interv Radiol. 1993;4:359–65.
Gould JE, Vedantham S. The role of interventional radiology in trauma. Semin Intervent Radiol. 2006 Sep;23(3):270–8.
Green CS, Bulger EM, Kwan SW. Outcomes and complications of angioembolization for hepatic trauma: a systematic review of the literature. J Trauma Acute Care Surg. 2016;80:529–37.
Bhullar IS, Frykberg ER, Siragusa D, et al. Selective angiographic embolization of blunt splenic traumatic injuries in adults decreases failure rate of nonoperative management. J Trauma Acute Care Surg. 2012;72:1127–34.
Requarth JA, D’Agostino RB, Miller PR. Nonoperative management of adult blunt splenic injury with and without splenic artery embolotherapy: a meta-analysis. J Trauma. 2011;71:898–903.
Schurr MJ, Fabian TC, Gavant M, et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management. J Trauma. 1995;39:507–13.
Dent D, Alsabrook G, Erickson BA, et al. Blunt splenic injuries: high nonoperative management rate can be achieved with selective embolization. J Trauma. 2004;56:1063–7.
Bessoud B, Denys A, Calmes JM, et al. Non-operative management of traumatic splenic injuries: is there a role for proximal splenic artery embolization? AJR Am J Roentgenol. 2006;186:779–85.
Zarzaur BL, Dunn JA, Leininger B, et al. Natural history of splenic vascular abnormalities after blunt injury: a Western Trauma Association multicenter trial. J Trauma Acute Care Surg. 2017;83:999–1005.
Killeen KL, Shanmuganathan K, Boyd-Kranis R, et al. CT findings after embolization for blunt splenic trauma. J Vasc Interv Radiol. 2001;12:209–14.
Schimmer JA, van der Steeg AF, Zuidema WP. Splenic function after angioembolization for splenic trauma in children and adults: a systematic review. Injury. 2016;47:525–30.
Herschorn S, Radomski SB, Shoskes DA, et al. Evaluation and treatment of blunt renal trauma. J Urol. 1991;146:274–6.
Armenakas NA, Duckett CP, McAninch JW. Indications for nonoperative management of renal stab wounds. J Urol. 1999;161:768–71.
Kozar RA, Crandall M, Shanmuganathan K, et al. Organ injury scaling 2018 update: spleen, liver, and kidney. J Trauma Acute Care Surg. 2018;85(6):1119–22.
Wessells H, Suh D, Porter JR, et al. Renal injury and operative management in the United States: results of a population-based study. J Trauma. 2003;54:423–30.
Hotaling JM, Sorensen MD, Smith TG, et al. Renal trauma using a national data set. J Urol. 2011;185:1316–20.
Uflacker R, Paolini RM, Lima S. Management of traumatic hematuria by selective renal artery embolization. J Urol. 1984;132:662–7.
Richman SD, Green WM, Kroll R, et al. Superselective transcatheter embolization of traumatic renal hemorrhage. AJR Am J Roentgenol. 1977;128:843–4.
Beyer C, Zakaluzny S, Humphries M, et al. Multidisciplinary management of blunt renal artery injury with endovascular therapy in the setting of polytrauma: a case report and review of the literature. Ann Vasc Surg. 2017;38:e311–8.
Lim KH, Ryeom HK, Park J. Endovascular treatment of renal arterial perforation after blunt trauma: case report. Int J Surg Case Rep. 2018;42:208–11.
Papakostidis C, Kanakaris N, Dimitriou R, et al. The role of arterial embolization in controlling pelvic fracture haemorrhage: a systematic review of the literature. Eur J Radiol. 2012;81:897–904.
Yoon W, Kim JK, Jeong YY, et al. Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT. Radiographics. 2004;24:1591–606.
Wijffels DJ, Verbeek DO, Ponsen KJ, et al. Imaging and endovascular treatment of bleeding pelvic fractures: review article. Cardiovasc Intervent Radiol. 2019;42:10–8.
Ghanayem AJ, Wilber JH, Lieberman JM, et al. The effect of laparotomy and external fixator stabilization on pelvic volume in an unstable pelvic injury. J Trauma. 1995;38:396–400.
Miller PR, Moore PS, Mansell E, et al. External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage. J Trauma. 2003;54:437–43.
Hauschild O, Aghayev E, von Heyden J, et al. Angioembolization for pelvic hemorrhage control: results from the German pelvic injury register. J Trauma Acute Care Surg. 2012;73:679–84.
Pereira SJ, O’Brien DP, Luchette FA, et al. Dynamic helical computed tomography scan accurately detects hemorrhage in patients with pelvic fracture. Surgery. 2000;128:678–85.
Verbeek DO, Zijlstra IA, van der Leij C, et al. Predicting the need for abdominal hemorrhage control in major pelvic fracture patients: the importance of quantifying the amount of free fluid. J Trauma Acute Care Surg. 2014;76:1259–63.
Brasel KJ, Pham K, Yang H, et al. Significance of contrast extravasation in patients with pelvic fracture. J Trauma. 2007;62:1149–52.
Cook RE, Keating JF, Gillespie I. The role of angiography in the management of haemorrhage from major fractures of the pelvis. J Bone Joint Surg Br. 2002;84:178–82.
Shapiro M, McDonald AA, Knight D, et al. The role of repeat angiography in the management of pelvic fractures. J Trauma. 2005;58:227–31.
Gourlay D, Hoffer E, Routt M, et al. Pelvic angiography for recurrent traumatic pelvic arterial hemorrhage. J Trauma. 2005;59:1168–73.
Hagiwara A, Minakawa K, Fukushima H, et al. Predictors of death in patients with life-threatening pelvic hemorrhage after successful transcatheter arterial embolization. J Trauma. 2003;55:696–703.
Johnson CA. Endovascular management of peripheral vascular trauma. Semin Intervent Radiol. 2010;27:38–43.
Waller CJ, Cogbill TH, Kallies KJ, et al. Contemporary management of subclavian and axillary artery injuries-a Western Trauma Association multicenter review. J Trauma Acute Care Surg. 2017;83:1023–31.
Fox N, Rajani RR, Bokhari F, et al. Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(Suppl. 4):S315–20.
Fowler AM, Burda JF, Kim SK. Adrenal artery embolization: anatomy, indications, and technical considerations. AJR. 2013;201:190–201.
Ikeda O, Urata J, Araki Y, et al. Acute adrenal hemorrhage after blunt trauma. Abdom Imaging. 2007;32(2):248–52.
Coccolini F, Kobayashi L, Kluger Y, et al. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 2019;14:56.
Park Y, Kim Y, Lee J, et al. Pancreaticoduodenal arterial hemorrhage following blunt abdominal trauma treated with transcatheter arterial embolization: two case reports. Medicine (Baltimore). 2020;99(40):e22531.
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Morelli, F. et al. (2023). Current Perspectives of Interventional Radiology in Trauma. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_77
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