The role of interventional radiology in trauma

doi:10.1136/bmj.c497

Published 8 February 2010, doi:10.1136/bmj.c497
Cite this as: BMJ 2010;340:c497

Clinical Review

The role of interventional radiology in trauma

Ian A Zealley, consultant radiologist, Sam Chakraverty, consultant radiologist

¹ Department of Radiology, Ninewells Hospital and Medical School, Dundee DD1 9SY

Correspondence to: I A Zealley ian.zealley@nhs.net

The first 150 words of the full text of this article appear below.

Interventional radiological techniques to stopbleeding are a minimally invasive alternative to surgery inblunt abdominal trauma

In haemodynamically stable patientswith trauma, interventional radiology has an established rolein the management of solid organ injuries

In haemodynamicallyunstable patients with trauma, interventional radiology is effectivein stemming haemorrhage from pelvic fractures

Recent seriessuggest that in a wider range of haemodynamically unstable patientsinterventional radiological techniques may further reduce thenumber of patients needing surgery

The overall quality of theevidence for interventional radiological and surgical interventionsin trauma is poor

Most preventable deaths from trauma are caused by unrecognisedand therefore untreated haemorrhage, particularly in the abdomen.Haemorrhage causes early deaths, and the associated hypovolaemicshock leads to secondary brain injury and contributes to latedeath from multiorgan failure.¹ Early management is focusedon resuscitation and the diagnosis and treatment of life threateningbleeding to prevent the lethal . . . [Full text of this article]

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