The Role of Interventional Radiology

  • Thomas M. Scalea
  • Patrick C. Malloy

Damage control is a philosophy of care that involves addressing only the most life-threatening injuries during the initial phases. Nonurgent injuries are temporized and discussed later, when the patient’s physiology allows. While damage control was first described for use in patients with penetrating abdominal injury, the principles have been generalized to injuries in the thorax, pelvis, and the remainder of the body.


Stent Graft Pelvic Fracture Coil Embolization Damage Control Splenic Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Sclafani SJ, Cooper R, Shaftan GW, Goldstein AS, Glanz S, Gordon DH. Arterial trauma: diagnostic and therapeutic angiography. Radiology 1986;161:165–172.PubMedGoogle Scholar
  2. 2.
    Shanmuganathan K, Mirvis SE, Boyd-Kranis R, Takada T, Scalea TM. Nonsurgical management of blunt splenic injury: use of ct criteria to select patients for splenic arteriography and potential endovascular therapy. Radiology 2000;217:75–82.PubMedGoogle Scholar
  3. 3.
    Poletti PA, Mirvis SE, Shanmuganathan K, Killeen KL, Coldwell D. CT criteria for management of blunt liver trauma: correlation with angiographic and surgical findings. Radiology 2000;216:418–427.PubMedGoogle Scholar
  4. 4.
    Busquets AR, Acosta JA, Colon E, Alejandro KV, Rodriguez P. Computed tomographic angiography for the diagnosis of traumatic arterial injuries of the extremities. J Trauma 2004;56(3):625–628.CrossRefPubMedGoogle Scholar
  5. 5.
    Mavili E, Donmez H, Ozcan N, Akcali Y. Endovascular treatment of lower limb penetrating arterial traumas. Cardiovasc Intervent Radiol 2007;30(6):1124–1129 .CrossRefPubMedGoogle Scholar
  6. 6.
    Stecco K, Meier A, Seiver A, Dake M, Zarins C. Endovascular stent-graft placement for treatment of traumatic penetrating subclavian artery injury. J Trauma 2000;48(5):948–950.CrossRefPubMedGoogle Scholar
  7. 7.
    Symbas P, Sherman AJ, Silver JM, Symbas JD, Lackey JJ. Traumatic rupture of the aorta: immediate or delayed repair? Annals of Surgery 2002;235(6):796–802.CrossRefPubMedGoogle Scholar
  8. 8.
    Semba CP, Kato N, Kee ST, Lee GK, Mitchell RS, Miller DC, Dake MD. Acute rupture of the descending thoracic aorta: repair with use of endovascular stent-grafts. J Vasc Interv Radiol 1997;8:337–342.CrossRefPubMedGoogle Scholar
  9. 9.
    Neschis D, Moaine S, Gutta R, Charles K, Scalea T, Flinn W, Griffith G. Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned. J Vascu Surg 2007;45(3):487–492.CrossRefPubMedGoogle Scholar
  10. 10.
    Bansal V, Lee J, Coimbra R. Current diagnosis and management of blunt traumatic rupture of the thoracic aorta. J Vasc Bras 2007;6(1):64–73.CrossRefGoogle Scholar
  11. 11.
    Carrillo EH, Platz A, Miller FB, Richardson JD, Polk Jr HC. Non-operative management of blunt hepatic trauma. Br J Surg 1998;85:461–468.CrossRefPubMedGoogle Scholar
  12. 12.
    Wahl WL, Ahrns KS, Brandt MM, Franklin GA, Taheri PA. The need for early angiographic embolization in blunt liver injuries. J Trauma 2002;52(6):1097–1101.CrossRefPubMedGoogle Scholar
  13. 13.
    Stone HH, Fabian TC, Turkleson ML. Wounds of the portal venous system. World J Surg 1982;6:335–341.CrossRefPubMedGoogle Scholar
  14. 14.
    Dinkel H-P, Danuser H, Triller J. Blunt renal trauma: minimally invasive management with microcatheter embolization – experience in nine patients. Radiology 2002;223:723–730.CrossRefPubMedGoogle Scholar
  15. 15.
    Pappas P, Leonardou P, Papadoukakis S, Zavos G, Michail S, Boletis J, Tzortzis G. Urgent superselective segmental renal artery embolization in the treatment of life-threatening Renal Hemorrhage Department of Radiology, Laiko General Hospital, Athens, Greece. Urol Int 2006;77:34–41.CrossRefPubMedGoogle Scholar
  16. 16.
    Haan JM, Bochicchio GV, Kramer N, Scalea TM. Nonoperative management of blunt splenic injury: a 5-year experience. J Trauma 2005;58(3):492–498.CrossRefPubMedGoogle Scholar
  17. 17.
    Ertel W, Oberholzer A, Platz A, Stocker R, Trentz O. Incidence and clinical pattern of the abdominal compartment syndrome after “damage-control” laparotomy in 311 patients with severe abdominal and/or pelvic trauma. Crit Care Med 2000;28(6):1747–1753.CrossRefPubMedGoogle Scholar
  18. 18.
    O’Neill PA, Riina J, Sclafani S, Tornetta III P. Angiographic findings in pelvic fractures. Techniques and outcome in pelvic fractures. Clin Orthop Relat Res 1996;329:60–67.CrossRefPubMedGoogle Scholar
  19. 19.
    Velmahos GC, Toutouzas K, Vassiliu P, Sarkisyan G, Chan LS, Hanks SH, Berne TV, Demetriades D. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries. J Trauma 2002;53(2):303–308.CrossRefPubMedGoogle Scholar
  20. 20.
    Ramirez JI, Velmahos GC, Best CR, Chan S, Demetriades D. Male sexual function after bilateral internal iliac artery embolization for pelvic fracture. J Trauma 2004;56(4):734–741.CrossRefPubMedGoogle Scholar
  21. 21.
    Obaro RO, Sniderman KW. Case report: avascular necrosis of the femoral head as a complication of complex embolization for severe pelvic haemorrhage. Br J Radiol 1995;68:920–922.CrossRefPubMedGoogle Scholar
  22. 22.
    Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR. Preperitonal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift. J Trauma 2007;62:834–842.CrossRefPubMedGoogle Scholar
  23. 23.
    Totterman A, Madsen JE, Skaga NO, Roise O. Extraperitoneal pelvic packing: a salvage procedure to control massive traumatic pelvic hemorrhage. J Trauma 2007;62:843–852.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.R. Adams Cowley Shock Trauma CenterBaltimoreUSA

Personalised recommendations