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DOI: 10.1055/s-0041-1725113
The Current Role of Interventional Radiology in the Management of Acute Trauma Patient
Abstract
Trauma is one of the most common causes of death, particularly in younger individuals. The development of specialized trauma centers, trauma-specific intensive care units, and trauma-focused medical subspecialties has led to the formation of comprehensive multidisciplinary teams and an ever-growing body of research and innovation. The field of interventional radiology provides a unique set of minimally invasive, endovascular techniques that has largely changed the way that many trauma patients are managed. This article discusses the role of interventional radiology in the care of this complex patient population, and in particular how the specialty fits into the overall team management of these patients.
Keywords
interventional radiology - trauma - minimally invasive therapy - surgery emergency medicinePublication History
Article published online:
15 April 2021
© 2021. Thieme. All rights reserved.
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References
- 1 WHO. Injuries and Violence. The Facts 2014. Geneva World Health Organ; 2014
- 2 Rotondo M, Cribari CSS. Resources for optimal care of the injured patient–2014. Bull Am Coll Surg 2014
- 3 Advanced Trauma Life Support: Student Course Manual, 10th ed. Chicago, IL: American College of Surgeons; 2018
- 4 Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR. Scaling system for organ specific injuries. Curr Opin Crit Care 1996
- 5 Tinkoff G, Esposito TJ, Reed J. et al. American Association for the Surgery of Trauma Organ Injury Scale I: spleen, liver, and kidney, validation based on the National Trauma Data Bank. J Am Coll Surg 2008; 207 (05) 646-655
- 6 Stassen NA, Bhullar I, Cheng JD. et al; Eastern Association for the Surgery of Trauma. Nonoperative management of blunt hepatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S288-S293
- 7 Stassen NA, Bhullar I, Cheng JD. et al; Eastern Association for the Surgery of Trauma. Selective nonoperative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012; 73 (05) (Suppl. 04) S294-S300
- 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 (03) 529-537
- 9 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 (03) 363-369.e2
- 10 Haan JM, Biffl W, Knudson MM. et al; Western Trauma Association Multi-Institutional Trials Committee. Splenic embolization revisited: a multicenter review. J Trauma 2004; 56 (03) 542-547
- 11 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 (05) 1127-1134
- 12 Bonanni P, Grazzini M, Niccolai G. et al. Recommended vaccinations for asplenic and hyposplenic adult patients. Hum Vaccines Immunother 2017; 13 (02) 359-368
- 13 Bessoud B, Duchosal MA, Siegrist CA. et al. Proximal splenic artery embolization for blunt splenic injury: clinical, immunologic, and ultrasound-Doppler follow-up. J Trauma 2007; 62 (06) 1481-1486
- 14 Malhotra AK, Carter RF, Lebman DA. et al. Preservation of splenic immunocompetence after splenic artery angioembolization for blunt splenic injury. J Trauma 2010; 69 (05) 1126-1130 , discussion 1130–1131
- 15 Ekeh AP, Khalaf S, Ilyas S, Kauffman S, Walusimbi M, McCarthy MC. Complications arising from splenic artery embolization: a review of an 11-year experience. Am J Surg 2013; 205 (03) 250-254 , discussion 254
- 16 Cioci AC, Parreco JP, Lindenmaier LB. et al. Readmission for infection after blunt splenic injury: a national comparison of management techniques. J Trauma Acute Care Surg 2020; 88 (03) 390-395
- 17 Keihani S, Putbrese BE, Rogers DM. et al; in Conjunction with the Trauma and Urologic Reconstruction Network of Surgeons. Optimal timing of delayed excretory phase computed tomography scan for diagnosis of urinary extravasation after high-grade renal trauma. J Trauma Acute Care Surg 2019; 86 (02) 274-281
- 18 Hagiwara A, Sakaki S, Goto H. et al. The role of interventional radiology in the management of blunt renal injury: a practical protocol. J Trauma 2001; 51 (03) 526-531
- 19 Altman AL, Haas C, Dinchman KH, Spirnak JP. Selective nonoperative management of blunt grade 5 renal injury. J Urol 2000; 164 (01) 27-30 , discussion 30–31
- 20 Erlich T, Kitrey ND. Renal trauma: the current best practice. Ther Adv Urol 2018; 10 (10) 295-303
- 21 Dyer GSM, Vrahas MS. Review of the pathophysiology and acute management of haemorrhage in pelvic fracture. Injury 2006; 37 (07) 602-613
- 22 Demetriades D, Karaiskakis M, Toutouzas K, Alo K, Velmahos G, Chan L. Pelvic fractures: epidemiology and predictors of associated abdominal injuries and outcomes. J Am Coll Surg 2002; 195 (01) 1-10
- 23 Wijffels DJ, Verbeek DO, Ponsen KJ, Carel Goslings J, van Delden OM. Imaging and endovascular treatment of bleeding pelvic fractures: review article. Cardiovasc Intervent Radiol 2019; 42 (01) 10-18
- 24 Broadwell SR, Ray CE. Transcatheter embolization in pelvic trauma. Semin Intervent Radiol 2004; 21 (01) 23-35
- 25 Vaidya R, Waldron J, Scott A, Nasr K. Angiography and embolization in the management of bleeding pelvic fractures. J Am Acad Orthop Surg 2018; 26 (04) e68-e76
- 26 Agolini SF, Shah K, Jaffe J, Newcomb J, Rhodes M, Reed III JF. Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage. J Trauma 1997; 43 (03) 395-399
- 27 Bonde A, Velmahos A, Kalva SP, Mendoza AE, Kaafarani HMA, Nederpelt CJ. Bilateral internal iliac artery embolization for pelvic trauma: effectiveness and safety. Am J Surg 2020; 220 (02) 454-458
- 28 Velmahos GC, Toutouzas KG, Vassiliu P. et al. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries. J Trauma 2002; 53 (02) 303-308 , discussion 308
- 29 Demetriades D. Blunt thoracic aortic injuries: crossing the Rubicon. J Am Coll Surg 2012; 214 (03) 247-259
- 30 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 (01) 136-146
- 31 Demetriades D, Velmahos GC, Scalea TM. et al; American Association for the Surgery of Trauma Thoracic Aortic Injury Study Group. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 2008; 64 (03) 561-570 , discussion 570–571
- 32 Arthurs ZM, Starnes BW, Sohn VY, Singh N, Martin MJ, Andersen CA. Functional and survival outcomes in traumatic blunt thoracic aortic injuries: an analysis of the National Trauma Databank. J Vasc Surg 2009; 49 (04) 988-994
- 33 Demetriades D, Velmahos GC, Scalea TM. et al. Blunt traumatic thoracic aortic injuries: early or delayed repair--results of an American Association for the Surgery of Trauma prospective study. J Trauma 2009; 66 (04) 967-973
- 34 Mirakhur A, Cormack R, Eesa M, Wong JK. Endovascular therapy for acute trauma: a pictorial review. Can Assoc Radiol J 2014; 65 (02) 158-167
- 35 Goei AD, Ching BH, Meyermann MW, Nunez T, Sacks D. Tips and tricks for the trauma patient. Semin Intervent Radiol 2010; 27 (01) 81-98