Selective use of endovascular techniques in the management of vascular trauma

Endovascular techniques have become crucial to the success of many elective and emergent vascular surgical cases. Although diagnostic angiography has always played a central role in the evaluation and management of vascular trauma, interventions such as stent grafting and coil embolization are increasingly being used as treatment modalities. Research exists to support the selective use of endovascular techniques in the management of blunt and penetrating vascular trauma, and specific scenarios and indications will be reviewed here. To ensure the most favorable outcomes, vascular interventionalists must always be aware of the limitations of these techniques as well as the limitations facing them in their hospital practice environments.