The Society or Interventional Radiology and the American College of Surgery Committee had recently recommended that the IR team should be ready to intervene within 60 minutes from the time a joint decision is made to proceed with angiography. In some places where embolization techniques are not readily available, resuscitative endovascular balloon occlusion of the aorta (REBOA) catheters have been used successfully to stabilize the patients while definitive options of bleeding control, including embolization, are available.Įarly embolization has been associated with decreased mortality in complex pelvic fractures. In a HOR, immediate control of hemorrhage can be achieved without the need to transfer the patients between services.īleeding control before severe coagulopathy and hypothermia is critical to improve survival. Also, embolization can be a lifesaving procedure for those patients who are having uncontrollable bleeding during surgery. Many patients who were treated with surgery in the past can now be treated with expedited embolization even in hemodynamically unstable situations. The creation of rapid response teams led by trauma surgery and IR, and the use of hybrid operative rooms (HORs) where available, has revolutionized the treatment of many traumatic injuries. Managing traumatic injuries requires a multidisciplinary approach with interventional radiology (IR) as an integral part of the team. ![]() ![]() Embolization provides an expedited and minimally invasive control of bleeding with less disruption of normal tissues than surgery, and plays a critical role in the nonoperative management (NOM) of many traumatic injuries, resulting in a decreased need for blood transfusion and improved survival. Embolization is the intentional and controlled occlusion of vessels to stop hemorrhage in traumatic injuries of solid abdominal organs, extremities, and pelvis.
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