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“超越挽救生命”:创伤介入放射学的当前观点

"Beyond saving lives": Current perspectives of interventional radiology in trauma.

作者信息

Singh Anuradha, Kumar Atin, Kumar Pawan, Kumar Subodh, Gamanagatti Shivanand

机构信息

Anuradha Singh, Atin Kumar, Pawan Kumar, Shivanand Gamanagatti, Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

出版信息

World J Radiol. 2017 Apr 28;9(4):155-177. doi: 10.4329/wjr.v9.i4.155.

Abstract

Interventional radiology (IR) has become an integral part in the management of traumatic injuries. There is an ever-increasing role of IR in traumatic injuries of solid abdominal organs, pelvic and peripheral arteries to control active bleeding by therapeutic embolization or vascular reconstruction using stent grafts. Traditionally, these endovascular treatments have been offered to hemodynamically stable patients. However, in recent times endovascular approach has become preferable to surgery even in hemodynamically unstable patients with injury of surgically difficult-to-access sites. With shifting trends towards non operative management coupled with availability of the current state-of-the-art equipments, hardware and technical expertise, IR has gained an impeccable role in trauma management. However, due to lack of awareness and widespread acceptance, IR continues to remain an ocean of unexplored potentialities.

摘要

介入放射学(IR)已成为创伤性损伤管理中不可或缺的一部分。在实体腹部器官、盆腔和外周动脉的创伤性损伤中,IR通过治疗性栓塞或使用支架移植物进行血管重建来控制活动性出血的作用日益增强。传统上,这些血管内治疗仅用于血流动力学稳定的患者。然而,近年来,即使是在血流动力学不稳定且手术难以触及部位受伤的患者中,血管内治疗方法也比手术更受青睐。随着向非手术管理的趋势转变,以及当前先进设备、硬件和技术专长的可得性,IR在创伤管理中发挥了无可挑剔的作用。然而,由于缺乏认识和广泛接受度,IR仍然是一个未被充分探索的潜力领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3294/5415886/2ec0f120bba2/WJR-9-155-g001.jpg

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