Endovascular management of haemorrhage in pelvic trauma
Successful management of severe pelvic trauma represents one of the most challenging clinical problems faced by trauma clinicians. These patients often have multisystem injuries representing numerous competing issues, exsanguination representing a significant number of preventable deaths. Traditiona...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262021000152 |
| _version_ | 1818573640849948672 |
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| author | Steven Tran Mike Wilks Joseph Dawson |
| author_facet | Steven Tran Mike Wilks Joseph Dawson |
| author_sort | Steven Tran |
| collection | DOAJ |
| description | Successful management of severe pelvic trauma represents one of the most challenging clinical problems faced by trauma clinicians. These patients often have multisystem injuries representing numerous competing issues, exsanguination representing a significant number of preventable deaths. Traditional operative approaches to pelvic bleeding have largely been superseded by endovascular management. Angiographic embolisation is a core endovascular technique that has been adopted into modern management algorithms for pelvic trauma. The resurgence of interest in REBOA has the potential to contribute further endovascular benefits to this patient cohort. Whilst both of these techniques have been described and used for quite some time, their utilisation has been increasing in recent times as the endovascular technology, and evidence supporting its use, continues to advance and progress. This paper aims to provide readers a contemporary overview on endovascular adjuncts used in the management of pelvic haemorrhage from trauma. |
| first_indexed | 2024-12-15T00:14:03Z |
| format | Article |
| id | doaj.art-413fab0e72ed4b1fb3080469469162cb |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-12-15T00:14:03Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-413fab0e72ed4b1fb3080469469162cb2022-12-21T22:42:29ZengElsevierSurgery in Practice and Science2666-26202021-09-016100039Endovascular management of haemorrhage in pelvic traumaSteven Tran0Mike Wilks1Joseph Dawson2Trauma Surgery Unit, Royal Adelaide Hospital, Port Road, Adelaide, SA 5000, Australia; Corresponding author.South Australian Medical Imaging, Royal Adelaide Hospital, South Australia, AustraliaTrauma Surgery Unit, Royal Adelaide Hospital, Port Road, Adelaide, SA 5000, Australia; Department of Vascular and Endovascular Surgery, Royal Adelaide Hospital, South Australia, Australia; Discipline of Surgery, University of Adelaide, Adelaide, South Australia, AustraliaSuccessful management of severe pelvic trauma represents one of the most challenging clinical problems faced by trauma clinicians. These patients often have multisystem injuries representing numerous competing issues, exsanguination representing a significant number of preventable deaths. Traditional operative approaches to pelvic bleeding have largely been superseded by endovascular management. Angiographic embolisation is a core endovascular technique that has been adopted into modern management algorithms for pelvic trauma. The resurgence of interest in REBOA has the potential to contribute further endovascular benefits to this patient cohort. Whilst both of these techniques have been described and used for quite some time, their utilisation has been increasing in recent times as the endovascular technology, and evidence supporting its use, continues to advance and progress. This paper aims to provide readers a contemporary overview on endovascular adjuncts used in the management of pelvic haemorrhage from trauma.http://www.sciencedirect.com/science/article/pii/S2666262021000152TraumaPelvisHaemorrhageEmbolisationEndovascularAngiography |
| spellingShingle | Steven Tran Mike Wilks Joseph Dawson Endovascular management of haemorrhage in pelvic trauma Surgery in Practice and Science Trauma Pelvis Haemorrhage Embolisation Endovascular Angiography |
| title | Endovascular management of haemorrhage in pelvic trauma |
| title_full | Endovascular management of haemorrhage in pelvic trauma |
| title_fullStr | Endovascular management of haemorrhage in pelvic trauma |
| title_full_unstemmed | Endovascular management of haemorrhage in pelvic trauma |
| title_short | Endovascular management of haemorrhage in pelvic trauma |
| title_sort | endovascular management of haemorrhage in pelvic trauma |
| topic | Trauma Pelvis Haemorrhage Embolisation Endovascular Angiography |
| url | http://www.sciencedirect.com/science/article/pii/S2666262021000152 |
| work_keys_str_mv | AT steventran endovascularmanagementofhaemorrhageinpelvictrauma AT mikewilks endovascularmanagementofhaemorrhageinpelvictrauma AT josephdawson endovascularmanagementofhaemorrhageinpelvictrauma |