Challenges and Opportunities for Endovascular Treatment of Hemorrhage in Combat Casualty Care

Kauvar, DavidSan Antonio Military Medical Center, San Antonio, TX, USA; Uniformed Services University, Bethesda, MD, USA (författare)

ABSTRACT: The care of the hemorrhaging patient continues to evolve. The use of endovascular techniques to treat hemorrhage has increased significantly in civilian trauma care over the past 15 years and is identified as a major national trauma care research priority. Endovascular techniques are being increasingly employed to treat major thoracoabdominal arterial injuries and resuscitative endovascular balloon occlusion of the aorta is being adopted at trauma centers as a supportive adjunct to resuscitation in the exsanguinating patient. Emerging endovascular technology offers the opportunity to provide temporary or permanent control of non-compressible torso hemorrhage, which remains a vexing problem in combat casualty care. Endovascular advances have not been translated to the care of combat casualties to any significant degree, however. This review provides a summary and analysis of the gap between civilian endovascular hemorrhage control and combat casualty care practice to better align future research and development efforts.

Cotton, BryanUniversity of Texas Health Science Center at Houston, Houston, TX, USA (författare)
Khan, MansoorImperial College London Department of Life Sciences, London, United Kingdom (författare)
Perreira, BrunoUniversity of Campinas, Campinas, Brazil (författare)
Brenner, MeganRiverside University Health System, Moreno Valley, CA, USA (författare)
Ferrada, PaulaVirginia Commonwealth University, Richmond, VA, USA (författare)
Hörer, Tal M.,1971-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län(Swepub:oru)thr (författare)
Kirkpatrick, AndrewFoothills Medical Centre, Calgary, AB, Canada (författare)
Ordoñez, CarlosDivision of Trauma and Acute Care Surgery, Department of Surgery. Fundacion Valle del Lili. Universidad del Valle, Cali, Colombia (författare)
Pirouzram, ArtaiÖrebro University, Örebro, Sweden (författare)
Roberts, DerekUniversity of Ottawa, Ottawa, Ontario, Canada (författare)
Duchesne, JuanTulane University School of Medicine, New Orleans, LA, USA (författare)
San Antonio Military Medical Center, San Antonio, TX, USA; Uniformed Services University, Bethesda, MD, USAUniversity of Texas Health Science Center at Houston, Houston, TX, USA (creator_code:org_t)

Av författaren/redakt...: Kauvar, David; Cotton, Bryan; Khan, Mansoor; Perreira, Bruno; Brenner, Megan; Ferrada, Paula; visa fler...; Hörer, Tal M., 1 ...; Kirkpatrick, And ...; Ordoñez, Carlos; Pirouzram, Artai; Roberts, Derek; Duchesne, Juan; visa färre...

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