Proposal of standardization of every step of angiographic procedure in bleeding patients from pelvic trauma

European Journal of Medical Research

Fausto Catena¹  Salomone Di Saverio²  Rita Golfieri³  Matteo Renzulli³  Daniele Spinelli³  Nicolò Brandi³  Mansoor Khan⁴  Giovanni Marasco⁵  Tiziana Principi⁶  Anna Maria Ierardi⁷  Giampaolo Carrafiello⁷  Sofia Battisti⁸  Emanuela Giampalma⁸ 

[1] Department of Emergency and Trauma Surgery, Parma University Hospital;Department of General Surgery, University of Insubria, University Hospital of Varese, ASST Sette Laghi;Department of Radiology, IRCCS Azienda Ospedaliero-Universitaria di Bologna;Digestive Diseases Department, Brighton and Sussex University Hospitals;Division of Internal Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna;Intensive Care Unit and Anesthesia, Emergency Department, ASUR MARCHE AV5;Radiology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico;Radiology Unit, Bufalini Hospital;

关键词: Pelvic trauma;    Angioembolization;    Angiography;    Bleeding;    Interventional radiology;   

DOI  :  10.1186/s40001-021-00594-8

来源: DOAJ

【 摘 要 】

Abstract Trauma accounts for a third of the deaths in Western countries, exceeded only by cardiovascular disease and cancer. The high risk of massive bleeding, which depends not only on the type of fractures, but also on the severity of any associated parenchymal injuries, makes pelvic fractures one of the most life-threatening skeletal injuries, with a high mortality rate. Therefore, pelvic trauma represents an important condition to correctly and early recognize, manage, and treat. For this reason, a multidisciplinary approach involving trauma surgeons, orthopedic surgeons, emergency room physicians and interventional radiologists is needed to promptly manage the resuscitation of pelvic trauma patients and ensure the best outcomes, both in terms of time and costs. Over the years, the role of interventional radiology in the management of patient bleeding due to pelvic trauma has been increasing. However, the current guidelines on the management of these patients do not adequately reflect or address the varied nature of injuries faced by the interventional radiologist. In fact, in the therapeutic algorithm of these patients, after the word “ANGIO”, there are no reports on the different possibilities that an interventional radiologist has to face during the procedure. Furthermore, variations exist in the techniques and materials for performing angioembolization in bleeding patients with pelvic trauma. Due to these differences, the outcomes differ among different published series. This article has the aim to review the recent literature on optimal imaging assessment and management of pelvic trauma, defining the role of the interventional radiologist within the multidisciplinary team, suggesting the introduction of common and unequivocal terminology in every step of the angiographic procedure. Moreover, according to these suggestions, the present paper tries to expand the previously drafted algorithm exploring the role of the interventional radiologist in pelvic trauma, especially given the multidisciplinary setting.

【 授权许可】

Unknown