Department of Cardiothoracic and Vascular Surgery, Faculty of Life Science, Örebro University Hospital and University, Orebro, Sweden.
Department of Cardiothoracic and Vascular Surgery, Linköping University Hospital, Linkoping, Sweden.
Shock. 2021 Dec 1;56(1S):37-41. doi: 10.1097/SHK.0000000000001529.
In recent years there has been a tremendous increase in hemorrhage control by endovascular methods. Traumatic and non-traumatic hemorrhage is being more frequently managed with endografts, embolization agents, and minimal invasive methods. These methods initially were used in hemodynamically stable patients only, whereas now these are being implemented in acute settings and hemodynamically unstable patients. The strategy of using endovascular and combined open-endo methods approach for hemodynamic instability in trauma and non-trauma patients has been named EVTM- EndoVascular resuscitation and Trauma Management. The EVTM concept will be presented in this article, describing how it is developed and used, as well as its limitations and future aspects.
近年来，通过血管内方法控制出血有了巨大的进展。创伤性和非创伤性出血越来越多地采用血管内移植物、栓塞剂和微创方法进行治疗。这些方法最初仅用于血流动力学稳定的患者，而现在已在急性情况下和血流动力学不稳定的患者中实施。在创伤和非创伤患者中使用血管内和联合开放-血管内方法来治疗血流动力学不稳定的策略已被命名为 EVTM-血管内复苏和创伤管理。本文将介绍 EVTM 概念，描述其如何发展和应用，以及其局限性和未来方面。
