Transcatheter embolization is the mainstay of modern interventional trauma radiology the arteries to be treated must be expendable or nonessential or they must supply a relatively infarction resistant vascular bed. The role of interventional radiology in the management of severely traumatised patients began three to four decades ago with the embolization of the internal iliac arteries for massive pelvic bleeding over time interventional radiology has progressively taken on a principal role in management of trauma patients writes jaime tisnado. Interventional radiologists are adopting an increasingly important role in the evaluation and management of the acutely injured patient the interventional radiologist may be called upon to provide services while hemorrhage is active the patient is hemodynamically compromised and a comprehensive trauma assessment is incomplete. Any level one trauma center will have an interventional radiologist available as part of the trauma team embolization is a well established interventional radiology technique that is used to treat trauma victims with massive bleeding to control hemorrhage after childbirth and as a treatment prior to surgery to decrease blood loss. In haemodynamically stable patients with trauma interventional radiology has an established role in the management of solid organ injuries in haemodynamically unstable patients with trauma interventional radiology is effective in stemming haemorrhage from pelvic fractures recent series suggest
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