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Pelvic and Extremity Trauma

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IR Playbook

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.

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Authors and Affiliations

  1. Division of Interventional Radiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, University of Maryland Medical Center, Baltimore, MD, USA

    Howard M. Richard

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  1. Howard M. Richard
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Correspondence to Howard M. Richard .

Editor information

Editors and Affiliations

  1. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Nicole A. Keefe

  2. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Ziv J Haskal

  3. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    Auh Whan Park

  4. Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA

    John F. Angle

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Richard, H.M. (2018). Pelvic and Extremity Trauma. In: Keefe, N., Haskal, Z., Park, A., Angle, J. (eds) IR Playbook. Springer, Cham. https://doi.org/10.1007/978-3-319-71300-7_33

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  • DOI: https://doi.org/10.1007/978-3-319-71300-7_33

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71299-4

  • Online ISBN: 978-3-319-71300-7

  • eBook Packages: MedicineMedicine (R0)

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