Abdominal Trauma: Interventional Radiology

  • Germano Scevola
  • Marco Rastelli
  • Giorgio Loreni
  • Claudio Raspanti
  • Gloria Addeo
  • Vittorio Miele


Over the last decades, as well as diagnostic radiology, interventional radiology techniques have been improved thanks to technological evolution, mostly related to the production of new devices enabling the interventional radiologist to reach anatomical districts not accessible before. As a result of this technological improvement, it was observed an increase of procedures around the world in both vascular and extravascular interventions in terms of numbers and variability, and this was associated with a change in treatment strategies for traumatic patients with the willing of surgeons to prefer, when possible, a Non-Operative Management (NOM).

Non-Operative Management (NOM) can be associated at mini-invasive techniques such as arterial embolization for active bleeding, stent-graft positioning to repair vessels tears and temporary occlusion balloon catheters positioning as a bridge to surgical repair. In the non-operative management, interventional radiology techniques allow a quicker and less invasive treatment if compared with surgery in the management of haemorrhages, especially in blunt abdominal trauma with solid organs injuries and active bleeding suspected on the basis of clinical assessment and confirmed at the Contrast Enhanced Computed Tomography (CECT) study.


Trauma Trauma imaging Interventional radiology Non-operative management NOM Angioembolization Computed tomography CT 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Germano Scevola
    • 1
  • Marco Rastelli
    • 1
  • Giorgio Loreni
    • 1
  • Claudio Raspanti
    • 2
  • Gloria Addeo
    • 3
  • Vittorio Miele
    • 3
  1. 1.Department of Interventional RadiologySandro Pertini HospitalRomeItaly
  2. 2.Department of Interventional RadiologyCareggi University HospitalFlorenceItaly
  3. 3.Department of RadiologyCareggi University HospitalFlorenceItaly

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