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Endovascular Considerations in Vascular Trauma

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Abstract

The last two decades have seen a dramatic shift in the management of vascular disease from traditional open surgery to complex endovascular techniques. While this trend is quite well documented in the treatment of aneurysms of the abdominal and thoracic aorta, these changes have likewise taken place in management of vascular occlusive disease, and the technical aspects of these procedures can be applied to selected cases of vascular trauma. While endovascular management of blunt thoracic aortic injury has been increasingly reported with positive results, few data exist regarding safety and efficacy of endovascular management of injury to other vascular distributions. Selecting appropriate injuries for endovascular management is a particular challenge. There is a general perception that patients with acute arterial injuries – particularly hemodynamically unstable patients with ongoing hemorrhage – are inappropriate for endovascular management, despite the large volume of data showing improved outcomes in unstable patients with ruptured aortic aneurysms managed with a primary endovascular approach.

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Author information

Authors and Affiliations

  1. Division of Vascular Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Peter J. Rossi MD & Nicholas M. Southard DO

Authors
  1. Peter J. Rossi MD
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  2. Nicholas M. Southard DO
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Editor information

Editors and Affiliations

  1. Department of Surgery MSB 5.030, Center for Translational Injury Research, Houston, Texas, USA

    Anahita Dua

  2. Department of Surgery, University of Texas-Houston Duke University School of Medicine, Houston, Texas, USA

    Sapan S. Desai

  3. Department of Surgery, University of Texas-Houston, Houston, Texas, USA

    John B. Holcomb

  4. Department of Orthopedics, University of Texas-Houston, Houston, Texas, USA

    Andrew R. Burgess

  5. Department of Surgery, John Hopkins Medical Institutions, Baltimore, Maryland, USA

    Julie Ann Freischlag

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© 2014 Springer-Verlag Berlin Heidelberg

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Rossi, P.J., Southard, N.M. (2014). Endovascular Considerations in Vascular Trauma. In: Dua, A., Desai, S., Holcomb, J., Burgess, A., Freischlag, J. (eds) Clinical Review of Vascular Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39100-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-39100-2_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-39099-9

  • Online ISBN: 978-3-642-39100-2

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