Interventional techniques in vascular trauma
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Cited by (29)
Use of preperitoneal packing in politraumatized patient
2016, Revista Chilena de CirugiaThe evolution of a purpose designed hybrid trauma operating room from the trauma service perspective: The RAPTOR (resuscitation with angiography percutaneous treatments and operative resuscitations)
2014, InjuryCitation Excerpt :The humbling reality however is that even with this aggressive approach there remains bleeding that defies open surgery control and for which endoluminal techniques are the only effective modality. Interventional radiology (IR) involves performing catheter-directed contrast imaging of the vessels, often followed by the endovascular embolisation of bleeding, or the deployment of endovascular stents and other endovascular hardware guided by fluoroscopic imaging [21,22]. This modality is now considered imperative in modern trauma care to save lives.
Applying peripheral vascular injury guidelines to penetrating trauma
2014, Journal of Surgical ResearchCitation Excerpt :A review of the vascular trauma literature, however, reveals several case series that suggest anatomic locations other than those detailed in the previously mentioned guidelines that may be amenable to endovascular therapy. For example, embolization of axillary artery branches, such as the humeral circumflex arteries, has been done safely and effectively [14,15]. Also in the upper extremity, brachial artery injuries have been successfully managed endovascularly; Lonn et al. [16] describe thrombectomy and angioplasty for thrombosis and intimal disruption and Maynar et al. [17] discuss stent-graft repair of a brachial artery transection.
Multidetector Row Computed Tomography in the Management of Penetrating Neck Injuries
2009, Seminars in Ultrasound, CT and MRICitation Excerpt :Filling defects may be sharp or ill-defined, suggesting dissection or thrombi, respectively. Luminal narrowing and dilatation are nonspecific signs of vascular injury.3,42 Classic zonal anatomy is an important consideration when therapeutic interventions are considered.
Increasing use of endovascular therapy in acute arterial injuries: Analysis of the National Trauma Data Bank
2007, Journal of Vascular SurgeryPulsatile Flow Phantom for Ultrasound Image-Guided HIFU Treatment of Vascular Injuries
2007, Ultrasound in Medicine and BiologyCitation Excerpt :In addition, angiographic embolization has been used for occlusion of injured arteries (Velmahos et al. 2000; Mohr et al. 2003). However, embolization can be applied only in selective cases of vascular injuries since it can lead to distal tissue ischemia (Scalea and Sclafani 2001). Overall, there is a need for development of a noninvasive treatment of peripheral vascular injuries, which may reduce the risks associated with surgery and improve patient care (Lasic et al. 2005), as well as provide a fast life-saving treatment in emergency and battlefield situations.
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From the R. Adams Cowley Shock Trauma Center, Program in Trauma, University of Maryland School of Medicine, Baltimore, Maryland (TMS); and the Department of Radiology, Kings County Hospital Center, State University of New York Downstate School of Medicine, Brooklyn, New York (SS)