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Abdominal Trauma: Interventional Radiology

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Diagnostic Imaging in Polytrauma Patients

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Abstract

Over the last decades, as well as diagnostic radiology, interventional radiology techniques have been improved thanks to technological evolution, mostly related to the production of new devices enabling the interventional radiologist to reach anatomical districts not accessible before. As a result of this technological improvement, it was observed an increase of procedures around the world in both vascular and extravascular interventions in terms of numbers and variability, and this was associated with a change in treatment strategies for traumatic patients with the willing of surgeons to prefer, when possible, a Non-Operative Management (NOM).

Non-Operative Management (NOM) can be associated at mini-invasive techniques such as arterial embolization for active bleeding, stent-graft positioning to repair vessels tears and temporary occlusion balloon catheters positioning as a bridge to surgical repair. In the non-operative management, interventional radiology techniques allow a quicker and less invasive treatment if compared with surgery in the management of haemorrhages, especially in blunt abdominal trauma with solid organs injuries and active bleeding suspected on the basis of clinical assessment and confirmed at the Contrast Enhanced Computed Tomography (CECT) study.

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Authors and Affiliations

  1. Department of Interventional Radiology, Sandro Pertini Hospital, Rome, Italy

    Germano Scevola, Marco Rastelli & Giorgio Loreni

  2. Department of Interventional Radiology, Careggi University Hospital, Florence, Italy

    Claudio Raspanti

  3. Department of Radiology, Careggi University Hospital, Florence, Italy

    Gloria Addeo & Vittorio Miele

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  1. Germano Scevola
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  2. Marco Rastelli
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  3. Giorgio Loreni
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  4. Claudio Raspanti
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  5. Gloria Addeo
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  6. Vittorio Miele
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Correspondence to Germano Scevola .

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  1. Department of Radiology, Careggi University Hospital, Florence, Italy

    Vittorio Miele

  2. Dept of Emergency Radiology, S. Camillo Hospital, Rome, Italy

    Margherita Trinci

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Scevola, G., Rastelli, M., Loreni, G., Raspanti, C., Addeo, G., Miele, V. (2018). Abdominal Trauma: Interventional Radiology. In: Miele, V., Trinci, M. (eds) Diagnostic Imaging in Polytrauma Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-62054-1_22

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