Polytraumatism and solid organ bleeding syndrome: The role of imaging

Abstract In multiple injuries, features of bleeding from solid organs mostly involve the liver, spleen and kidneys and may be treated by embolization. The indications and techniques for embolization vary between organs and depend on the pathophysiology of the injuries, type of vascularization (anast...

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Bibliographic Details
Published in:Diagnostic and interventional imaging 2015-07, Vol.96 (7), p.707-715
Main Authors: Thony, F, Rodière, M, Frandon, J, Vendrell, A, Jankowski, A, Ghelfi, J, Sengel, C, Arvieux, C, Bouzat, P, Ferretti, G
Format: Article
Language:English
Subjects:
Acute Kidney Injury - diagnosis
Acute Kidney Injury - therapy
Angiography
Cooperative Behavior
Embolization
Embolization, Therapeutic - methods
Emergency Medical Services
Endovascular Procedures - methods
Endovascular treatment
Hemorrhage - diagnosis
Hemorrhage - therapy
Humans
Interdisciplinary Communication
Liver - injuries
Liver injury
Multiple Trauma - diagnosis
Multiple Trauma - therapy
Radiology
Renal injury
Splenic injury
Splenic Rupture - diagnosis
Splenic Rupture - therapy
Syndrome
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Summary:Abstract In multiple injuries, features of bleeding from solid organs mostly involve the liver, spleen and kidneys and may be treated by embolization. The indications and techniques for embolization vary between organs and depend on the pathophysiology of the injuries, type of vascularization (anastomotic or terminal) and type of embolization (curative or preventative). Interventional radiologists should have a full understanding of these indications and techniques and management algorithms should be produced within each facility in order to define the respective place of the different treatment options.
ISSN:2211-5684
2211-5684
DOI:10.1016/j.diii.2015.06.004