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A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
Published on: July 28, 2020
[Interventional radiological management of traumatic injuries to solid upper abdominal organs]
Cornelia L A Dewald1, Lena S Becker2, Marcel Winkelmann3
1Institut für Diagnostische und Interventionelle Radiologie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland. Dewald.cornelia@mh-hannover.de.
Abstract:
Traumatic injuries to the liver, spleen and kidneys often pose a challenge in acute care. In addition to conservative and surgical treatment, interventional radiology provides a minimally invasive option for bleeding control and organ preservation. The indications for transarterial embolization depend on the hemodynamic stability, imaging results and accompanying injuries. Special technical aspects, such as the selection of embolization material, microcatheter techniques and consideration of anatomical conditions are crucial for treatment success. Knowledge of the indications, contraindications and technical details enables targeted, patient-oriented treatment. Interventional procedures reduce the need for open surgery, lower the mortality in severely injured patients and help to preserve organ function. This article highlights the role of interventional radiology in the care of trauma patients with bleeding in the solid organs of the upper abdomen.
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