Endovascular therapy in trauma

M. Brenner, M. Hoehn, T. E. Rasmussen*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

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, bleeding, and shock; including injury patterns in which an endovascular approach is established and scenarios in which it is nascent and evolving.

Original languageEnglish
Pages (from-to)671-678
Number of pages8
JournalEuropean Journal of Trauma and Emergency Surgery
Volume40
Issue number6
DOIs
StatePublished - 29 Nov 2014
Externally publishedYes

Keywords

  • Catheter-based approach
  • Endovascular balloon occlusion
  • Endovascular repair
  • Resuscitation
  • Vascular trauma

Fingerprint

Dive into the research topics of 'Endovascular therapy in trauma'. Together they form a unique fingerprint.

Cite this