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Circulatory Trauma: A Paradigm for Understanding the Role of Endovascular Therapy in Hemorrhage Control

Kauvar, David (author)
San Antonio Mil Med Ctr, TX USA,Vascular Surgery Service, San Antonio Military Medical Center, San Antonio, Texas, USA
Cotton, Bryan (author)
Univ Texas Hlth Sci Ctr Houston, TX 77030 USA,Department of Surgery, University of Texas Health Science Center, Houston, Texas, USA
Khan, Mansoor (author)
Brighton & Sussex Univ Hosp, England,Department of Digestive Diseases, Brighton and Sussex University Hospitals, Brighton, UK
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Perreira, Bruno (author)
Univ Estadual Campinas, Brazil,Department of Surgery and Surgical Critical Care, University of Campinas, Campinas, Brazil
Brenner, Megan (author)
Univ Calif Riverside, CA 92521 USA,Department of Surgery, University of California Riverside, Riverside, California, USA
Ferrada, Paula (author)
VCU Surg Trauma Crit Care & Emergency Surg, VA USA,VCU Surgery Trauma, Critical Care and Emergency Surgery, Richmond, Virginia, USA
Hörer, Tal M., 1971- (author)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery, Faculty of Life Science Örebro University Hospital, Örebro, Sweden,Orebro Univ Hosp, Sweden; Univ Orebro, Sweden
Kirkpatrick, Andrew (author)
Univ Calgary, Canada; Univ Calgary, Canada; Canadian Forces Hlth Serv, Canada,Regional Trauma Services Foothills Medical Centre, Departments of Surgery, Critical Care Medicine, University of Calgary, Calgary, Alberta, Canada; Canadian Forces Health Services, Ottowa, Canada
Ordonez, Carlos (author)
Univ Valle, Colombia,Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Universidad del Valle, Cali , Colombia
Pirouzram, Artai (author)
Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Thorax-kärlkliniken i Östergötland,Department of Cardiothoracic and Vascular Surgery, Linköping University Hospital, Linköping, Sweden
Roberts, Derek (author)
Univ Ottawa, Canada,Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Ottawa, Ontario, Canada
Duchesne, Juan (author)
Dept Surg Tulane, LA USA,Division Chief Acute Care Surgery, Department of Surgery Tulane, New Orleans, Louisiana, USA
Taghavi, Sharven (author)
Dept Surg Tulane, LA USA,Division Chief Acute Care Surgery, Department of Surgery Tulane, New Orleans, Louisiana, USA
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 (creator_code:org_t)
LIPPINCOTT WILLIAMS & WILKINS, 2021
2021
English.
In: Shock. - : LIPPINCOTT WILLIAMS & WILKINS. - 1073-2322 .- 1540-0514. ; 56:1S, s. 22-29
Related links:
https://urn.kb.se/re...
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https://doi.org/10.1...
https://urn.kb.se/re...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The pathophysiology of traumatic hemorrhage is a phenomenon of vascular disruption and the symptom of bleeding represents one or more vascular injuries. In the Circulatory Trauma paradigm traumatic hemorrhage is viewed as injury to the circulatory system and suggests the underlying basis for endovascular hemorrhage control techniques. The question "Where is the patient bleeding?" is replaced by "Which blood vessels are disrupted?" and stopping bleeding becomes a matter of selective vessel access and vascular flow control. Control of traumatic hemorrhage has traditionally been performed via external access to the end organ that is bleeding followed by the application of direct pressure, packing, or clamping and repair of directly affected blood vessels. In the circulatory trauma paradigm, bleeding is seen as disruption to vessels which may be accessed internally, from within the vascular system. A variety of endovascular treatments such as balloon occlusion, embolization, or stent grafting can be used to control hemorrhage throughout the body. This narrative review presents a brief overview of the current role of endovascular therapy in the management of circulatory trauma. The authors draw on their personal experience combined with the last decade of published experiences with the use of endovascular techniques in trauma and present general recommendations for their evolving use. The focus of the review is on the use of endovascular techniques as specific vascular treatments using the circulatory trauma paradigm.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Damage control resuscitation; endovascular; hemorrhage

Publication and Content Type

ref (subject category)
art (subject category)

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