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The Interface of Trauma Surgery and Interventional Radiology: The Trauma Surgeon's Perspective.
Khu Aten Maaneb de Macedo1, John Scott2, Megan G Janeway3
1Department of Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston Medical Center, Boston, Massachusetts.
Seminars in Interventional Radiology
|November 14, 2025
Summary
Trauma care is increasingly using nonoperative management, enhancing collaboration between trauma surgery and interventional radiology (IR). This multidisciplinary approach offers minimally invasive options, improving patient outcomes and organ preservation in trauma management.
Area of Science:
- Trauma Surgery
- Interventional Radiology
- Multidisciplinary Care
Background:
- Trauma is a major global cause of death and disability.
- Advances in imaging and technology are driving a shift towards nonoperative management in trauma care.
- Interventional Radiology (IR) provides minimally invasive, organ-preserving options that reduce surgical morbidity.
Purpose of the Study:
- To explore the collaboration between trauma surgery and interventional radiology from a surgeon's perspective.
- To review standardized trauma assessment, imaging modalities (FAST, CT), and multidisciplinary collaboration.
- To highlight the importance of institutional protocols for efficient communication and timely IR activation.
Main Methods:
- Review of standardized trauma assessment protocols.
- Evaluation of imaging modalities like FAST and CT scans.
- Analysis of interventional radiology procedures for trauma management.
Main Results:
- Interventional radiology offers effective minimally invasive treatments for solid organ injuries, pelvic fractures, and vascular trauma.
- Standardized protocols and efficient multidisciplinary collaboration streamline interventions and improve outcomes.
- Key IR procedures include transarterial embolism (TAE) and balloon occlusion for trauma management.
Conclusions:
- Strengthening the collaboration between trauma surgery and IR is crucial for advancing evidence-based, nonoperative trauma care.
- Addressing challenges in resource availability and protocol adherence is necessary for optimizing patient outcomes.
- Future efforts should focus on enhanced training, communication, and data-driven protocol refinement for nonoperative trauma management.

