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Keywords:
Interventional vascular, Abdomen, Trauma, Catheter arteriography, CT-Angiography, PACS, Angioscopy, Arterial access, Embolisation, Acute, Haemorrhage, Outcomes
Authors:
M. Perri, A. V. Giordano, S. Carducci, M. Varrassi, C. Marsecano, G. Michelini, L. Sacchetti, M. Gallucci, C. Masciocchi; L'Aquila/IT
DOI:
10.1594/ecr2015/C-1820
Conclusion
Interventional radiology has much to offer in the evaluation and treatment of traumatic injuries.
Current literature suggests that this role may expand in time due to desire for organ preservation and avoidance of surgery as well as due to improvements in transcatheter equipment.
Selective hepatic arteriography is considered the preferred method for diagnosis of severe hemobilia and bleeding liver vessels because of its high sensitivity,
being capable of immediately and accurately detecting bleeding at such low rates as approximately 0.5 to 2 mL/min(22).
.
Many reports have enphasized the usefulness of transcatheter embolization in the control of intractable bleeding that is associated with pelvic trauma(23).
Arterial embolization has also been successfully used for the managment of postoperative(24),
postabortion(25) and postpartum(26) intractable bleeding In our study we obtained in traumatic and non-traumatic condition complete stop bleeding of arterial branches in many of these situation and in particular in traumatic and non traumatic condition of arterial bleeding liver,
in bleedings due to anticoagulation therapy and Ginecological emergencies.
In conclusion,
our study demonstrates the utility of the different methods and interventional techniques in controlling bleeding emergencies.