Related Experiment Video
Updated: Aug 11, 2026
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Thoracic angiography and intervention in trauma
Patrick C Malloy1, Howard Marks Richard
1Department of Diagnostic Radiology, University of Maryland Medical System, Baltimore, MD 21201, USA. pmalloy@umm.edu
Radiologic Clinics of North America
|February 28, 2006
Summary
Interventional radiologists now use advanced endovascular techniques for acute chest trauma, enabling minimally invasive repair of thoracic injuries. Continued training in thoracic angiography is crucial for these evolving treatment options.
Area of Science:
- Radiology
- Vascular Surgery
- Trauma Surgery
Background:
- Interventional radiologists' role in initial acute chest trauma evaluation has decreased.
- Computed tomography (CT) is primary for diagnosing injuries or directing patients to surgery.
- Advances in endovascular technology facilitate definitive repair of thoracic vascular injuries.
Purpose of the Study:
- To review minimally invasive endovascular techniques for thoracic trauma.
- To examine the current status and future of endovascular interventions in thoracic trauma.
Main Methods:
- Review of current literature and techniques in endovascular thoracic trauma management.
- Discussion of advancements in stent grafts and embolization coils.
- Analysis of thoracic angiography interpretation and performance skills.
Main Results:
- Endovascular interventions offer definitive repair for thoracic aortic and branch vessel injuries.
- Minimally invasive techniques are increasingly viable for treating complex thoracic trauma.
- Thoracic angiography remains essential for diagnosis and treatment planning.
Conclusions:
- Interventional radiology plays a key role in managing thoracic trauma through endovascular means.
- The development and maintenance of skills in thoracic angiography are vital.
- Endovascular interventions represent a significant advancement in treating acute chest trauma.
Related Concept Videos
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...