Polytraumatism and solid organ bleeding syndrome: The role of imaging

Diagn Interv Imaging. 2015 Jul-Aug;96(7-8):707-15. doi: 10.1016/j.diii.2015.06.004. Epub 2015 Jul 20.

Abstract

In multiple injuries, features of bleeding from solid organs mostly involve the liver, spleen and kidneys and may be treated by embolization. The indications and techniques for embolization vary between organs and depend on the pathophysiology of the injuries, type of vascularization (anastomotic or terminal) and type of embolization (curative or preventative). Interventional radiologists should have a full understanding of these indications and techniques and management algorithms should be produced within each facility in order to define the respective place of the different treatment options.

Keywords: Embolization; Endovascular treatment; Liver injury; Renal injury; Splenic injury.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / diagnosis*
  • Acute Kidney Injury / therapy*
  • Angiography
  • Cooperative Behavior
  • Embolization, Therapeutic / methods*
  • Emergency Medical Services*
  • Endovascular Procedures / methods*
  • Hemorrhage / diagnosis*
  • Hemorrhage / therapy*
  • Humans
  • Interdisciplinary Communication
  • Liver / injuries*
  • Multiple Trauma / diagnosis*
  • Multiple Trauma / therapy*
  • Splenic Rupture / diagnosis*
  • Splenic Rupture / therapy*
  • Syndrome