Emergent vessel embolization for major traumatic and non-traumatic hemorrhage: Indications, tools and outcomes

Endovascular embolization of bleeding vessels in trauma and non-trauma patients is frequently used and is an important tool for bleeding control. It is included in the EVTM (endovascular resuscitation and trauma management) concept and its use in patients with hemodynamic instability is increasing....

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Published inSeminars in vascular surgery Vol. 36; no. 2; pp. 283 - 299
Main Authors Hörer, Tal M., Ierardi, Anna Maria, Carriero, Serena, Lanza, Carolina, Carrafiello, Gianpaolo, McGreevy, David T.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2023
Subjects
Bleeding
Embolization
Embolization, Therapeutic - adverse effects
Endovascular
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Hemorrhage - etiology
Hemorrhage - therapy
Humans
Resuscitation - adverse effects
Resuscitation - methods
Trauma
Embolization
Trauma
Endovascular
Bleeding
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Summary:Endovascular embolization of bleeding vessels in trauma and non-trauma patients is frequently used and is an important tool for bleeding control. It is included in the EVTM (endovascular resuscitation and trauma management) concept and its use in patients with hemodynamic instability is increasing. When the correct embolization tool is chosen, a dedicated multidisciplinary team can rapidly and effectively achieve bleeding control. In this article, we will describe the current use and possibilities for embolization of major hemorrhage (traumatic and non-traumatic) and the published data supporting these techniques as part of the EVTM concept.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0895-7967
1558-4518
1558-4518
DOI:10.1053/j.semvascsurg.2023.04.011