[Angiography and embolisation to control bleeding after blunt injury to the abdomen or pelvis].
Angiography and embolisation are being increasingly used to control bleeding following abdominal and pelvic trauma. CT is a useful tool to select patients for such intervention-radiological angiography. The application ofangiography and embolisation requires a specific local infrastructure, logistics and expertise on the part of the radiologist, traumatologist and anaesthetist. The main indications for angiography and embolisation are: contrast blush on the CT scan and clinical signs of ongoing bleeding; they are also indicated as an adjunct to damage control procedures. Angiography and embolisation are successful in about 90% of the patients; complications occur in < 10% of the patients. An accurate estimate of the patient's physical condition, a correct assessment of the severity of the injury, and a multidisciplinary approach are important factors in the success of embolisation therapy.
Goslings
J C
JC
Trauma-unit, Afd. Chirurgie, Academisch Medisch Centrum/Universiteit van Amsterdam, Meibergdreef 9, 1005 AZ Amsterdam. j.c.goslings@amc.nl
van Delden
O M
OM
D000007:Abdominal Injuries / Q000150:complications*; D000792:Angiography / Q000379:methods*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008099:Liver / Q000293:injuries; D010388:Pelvis / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*
D003287:Contrast Media