Accession Number : ADA620818


Title :   Endovascular Therapy in Trauma


Descriptive Note : Journal article


Corporate Author : ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX


Personal Author(s) : Brenner, M ; Hoehn, M ; Rasmussen, T E


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a620818.pdf


Report Date : 23 Nov 2014


Pagination or Media Count : 9


Abstract : The practice of medicine has experienced a revolution in the use of catheter-based or endovascular techniques to manage age-related vascular disease over the past 15 years. In many scenarios the less invasive, endovascular method is associated with reduced morbidity and mortality than the traditional open surgical approach. Although somewhat delayed, the use of endovascular approaches in the management of certain trauma scenarios has also increased dramatically. With improvements in catheter-based and imaging technologies and a broader acceptance of the value of the endovascular approach, this trend is likely to continue to the benefit of patients. The use of endovascular techniques in trauma can be considered in three broad categories: (1) large-vessel repair (e.g. covered stent repair), (2) mid- to small-vessel hemostasis (e.g. coils, plugs, and hemostatic agents), and (3) large-vessel balloon occlusion for resuscitation (e.g. resuscitative endovascular balloon occlusion of the aorta). While not exclusive, these categories provide a framework from which to consider establishing a trauma-specific endovascular inventory and performance of these techniques in the setting of severe injury. The aim of this review is to use this framework to provide a current appraisal of endovascular techniques to manage various forms: vascular injury, bleedings, shock; including injury patterns in which an endovascular approach is established and scenarios in what is nascent and evolving.


Descriptors :   *EMERGENCY MEDICINE , *THERAPY , *VASCULAR DISEASES , BALLOON EQUIPMENT , BLOOD COAGULATION , BLOOD VESSELS , CARDIOVASCULAR SYSTEM , DIAGNOSIS(MEDICINE) , HEMORRHAGIC SHOCK , MEDICAL PERSONNEL , MORBIDITY , MORTALITY RATE , PATIENTS , RESUSCITATION , SCENARIOS , SURGERY , THORAX , TRAUMA , WOUNDS AND INJURIES


Subject Categories : Anatomy and Physiology
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE