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[Interventional radiology as emergency therapy].

Marco Armbruster1, Stefan Wirth2,3,4, Max Seidensticker2

  • 1Klinik und Poliklinik für Radiologie, Klinikum der Universität München, Campus Großhadern, Marchionistr. 15, 81377, München, Deutschland. marco.armbruster@med.uni-muenchen.de.

Der Radiologe
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PubMed
Summary
This summary is machine-generated.

Radiology plays a crucial role in trauma and emergency care, offering rapid diagnostics and minimally invasive image-guided therapies. While basic interventional techniques are essential for on-call radiologists, advanced procedures require specialized expertise.

Keywords:
Abscess drainageCoiling of bleeding/hemorrhageDigital subtraction angiographyPercutaneous transhepatic cholangiodrainThrombectomy

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Area of Science:

  • Radiology
  • Interventional Radiology
  • Medical Imaging

Background:

  • Advancements in surgical techniques and an aging population with multiple comorbidities increase the demand for radiology in trauma and acute emergencies.
  • Radiology provides not only rapid and precise diagnostics but also image-guided, minimally invasive therapies for acute conditions.

Purpose of the Study:

  • To highlight the essential role of radiology in managing trauma and acute emergencies.
  • To discuss the current and future applications of various radiological imaging modalities and interventional techniques.

Main Methods:

  • Computed tomography (CT) for diagnosing pathologies and enabling minimally invasive therapy.
  • Digital subtraction angiography (DSA) for guiding catheter-based procedures like bleeding control and percutaneous transhepatic cholangiodrainage (PTCD).
  • Fluoroscopy for 3D-visualization in draining abdominal and thoracic abscesses.

Main Results:

  • Radiology is integral to treating acute emergencies and complications via minimally invasive procedures.
  • Magnetic resonance imaging (MRI) interventions are expected to gain importance, expanding the interventional radiology toolkit.

Conclusions:

  • On-call radiologists should master basic interventional techniques for patient stabilization and interim care.
  • The full spectrum of interventional radiology procedures requires extensive expertise and will remain the domain of specialized interventional radiologists.