Intraabdominal Vascular Injuries in Blunt Trauma: Spectrum of Presentation, Severity and Management Options

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dc.contributor.author Chandhok, P en
dc.contributor.author Civil, Ian en
dc.date.accessioned 2017-07-27T01:08:48Z en
dc.date.issued 2017-03 en
dc.identifier.citation Current Trauma Reports 3(1):51-61 Mar 2017 en
dc.identifier.issn 2198-6096 en
dc.identifier.uri http://hdl.handle.net/2292/34541 en
dc.description.abstract Purpose of Review Blunt abdominal vascular injury is rare, hard to diagnose and there is little consensus as to what constitutes best management. This review was undertaken to assess how blunt abdominal vascular trauma management has changed over last few years and what new therapies have been reported. Recent Findings Increasing diagnostic accuracy through the ubiquitous use of CT angiography has identified a greater range of injuries than clinicians were previously aware of. Most of these injuries can be managed non-interventionally but where intervention is required an increasing range of non-surgical options are available. Hemorrhage control with resuscitative balloon occlusion of the aorta has become popular and both covered and uncovered stents are available in situations where simple embolization is not feasible. Summary Patients with suspected blunt abdominal vascular injury need CT angiography to diagnose injuries and plan further management. Recently published literature suggests an increasing role of non-operative and endovascular treatment of these injuries. The role of open surgery is limited to a few situations and is more often a backup in the event of a failed endovascular intervention. en
dc.publisher Springer en
dc.relation.ispartofseries Current Trauma Reports en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Intraabdominal Vascular Injuries in Blunt Trauma: Spectrum of Presentation, Severity and Management Options en
dc.type Journal Article en
dc.identifier.doi 10.1007/s40719-017-0078-y en
pubs.issue 1 en
pubs.begin-page 51 en
pubs.volume 3 en
dc.rights.holder Copyright: Springer en
pubs.end-page 61 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Review en
pubs.elements-id 625281 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Surgery Department en
dc.identifier.eissn 2198-6096 en
pubs.record-created-at-source-date 2017-07-27 en
pubs.online-publication-date 2017-02-16 en


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