СОВРЕМЕННЫЕ ВОЗМОЖНОСТИ ЭКСТРЕННОЙ И НЕОТЛОЖНОЙ РЕНТГЕНЭНДОВАСКУЛЯРНОЙ ХИРУРГИИ ПРИ СОСУДИСТЫХ ПОСТТРАВМАТИЧЕСКИХ ПОВРЕЖДЕНИЯХ
В. В. Бояринцев
Главное медицинское управление УД Президента РФ, Москва
Н. В. Закарян
Д. С. Белков
А. С. Панков
А. Г. Давтян
Е. Б. Молохоев
Е. В. Баринов
В. С. Фоменко

Ключевые слова

травма
интервенционная радиология
транскатетерная эмболизация

Как цитировать

[1]
В. В. Бояринцев, СОВРЕМЕННЫЕ ВОЗМОЖНОСТИ ЭКСТРЕННОЙ И НЕОТЛОЖНОЙ РЕНТГЕНЭНДОВАСКУЛЯРНОЙ ХИРУРГИИ ПРИ СОСУДИСТЫХ ПОСТТРАВМАТИЧЕСКИХ ПОВРЕЖДЕНИЯХ, КМКВ, вып. 3, сс. 50-60, авг. 2021.

Аннотация

Травма является одной из ведущих причин смертности. Существует необходимость в эффективном и действенном оказании медицинской помощи, которая может улучшить показатели выживаемости и максимально уменьшить количество осложнений у больных с данной патологией. С момента разработки и внедрения ангиографии и эндоваскулярных методов лечения, интервенционная радиология играет важную роль в ведении пациентов с травмами. Использование транскатетерной эмболизации при лечении жизнеугрожающих посттравматических кровотечений значительно улучшило эффективность хирургического пособия у этих больных. В связи с расширением сферы применения рентгенохирургических вмешательств, включающих в себя эмболизацию у нестабильных пациентов с повреждениями органов, а также эндоваскулярную коррекцию повреждений крупных артерий, интервенционные хирурги должys быть максимально готовыми к оказанию эффективного и безопасного оперативного пособия.

Литература

1. McGahan J. P., Wang L., Richards J. R. From the RSNA refresher courses: focused abdominal US for trauma //Radiographics. – 2001. – V. 21. – №. suppl_1. – P. S191-S199. doi: 10.1148/radiographics.21.suppl_1.g01oc09s191.
2. Yao D. C. et al. Using contrast-enhanced helical CT to visualize arterial extravasation after blunt abdominal trauma: incidence and organ distribution //American Journal of Roentgenology. – 2002. – V. 178. – №. 1. – P. 17-20. doi: 10.2214/ajr.178.1.1780017.
3. Haan J. et al. Admission angiography for blunt splenic injury: advantages and pitfalls //Journal of Trauma and Acute Care Surgery. – 2001. – V. 51. – №. 6. – P. 1161-1165.
4. Sclafani S. J. A. et al. Nonoperative salvage of computed tomography--diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis //Journal of Trauma and Acute Care Surgery. – 1995. – V. 39. – №. 5. – P. 818-827.
5. Dent D. et al. Blunt splenic injuries: high nonoperative management rate can be achieved with selective embolization //Journal of Trauma and Acute Care Surgery. – 2004. – V. 56. – №. 5. – P. 1063-1067. doi: 10.1097/01.TA.0000123037.66867.F2.
6. Omert L. A. et al. Implications of the “contrast blush” finding on computed tomographic scan of the spleen in trauma //Journal of Trauma and Acute Care Surgery. – 2001. – V. 51. – №. 2. – P. 272-278.
7. Cox Jr C. S. et al. Pediatric blunt abdominal trauma: role of computed tomography vascular blush //Journal of pediatric surgery. – 1997. – V. 32. – №. 8. – P. 1196-1200. doi: 1016/S0022-3468(97)90681-3.
8. Schurr M. J. et al. Management of blunt splenic trauma: computed tomographic contrast blush predicts failure of nonoperative management //Journal of Trauma and Acute Care Surgery. – 1995. – V. 39. – №. 3. – P. 507-513.
9. Bessoud B. et al. Nonoperative management of traumatic splenic injuries: is there a role for proximal splenic artery embolization? //American journal of roentgenology. – 2006. – V. 186. – №. 3. – P. 779-785. doi: 10.2214/AJR.04.1800.
10. Haan J. M. et al. Nonoperative management of blunt splenic injury: a 5-year experience //Journal of Trauma and Acute Care Surgery. – 2005. – V. 58. – №. 3. – P. 492-498. doi: 10.1097/01.TA.0000154575.49388.74.
11. Killeen K. L. et al. CT findings after embolization for blunt splenic trauma //Journal of Vascular and Interventional Radiology. – 2001. – V. 12. – №. 2. – P. 209-214. doi: 10.1016/S1051-0443(07)61827-2.
12. Wahl W. L. et al. Blunt splenic injury: operation versus angiographic embolization //Surgery. – 2004. – V. 136. – №. 4. – P. 891-899. doi: 10.1016/j.surg.2004.06.026.
13. Schwartz R. A. et al. Effectiveness of transcatheter embolization in the control of hepatic vascular injuries //Journal of Vascular and Interventional Radiology. – 1993. – V. 4. – №. 3. – P. 359-365.
14. Poletti P. A. et al. CT criteria for management of blunt liver trauma: correlation with angiographic and surgical findings //Radiology. – 2000. – V. 216. – №. 2. – P. 418-427. doi: 10.1148/radiology.216.2.r00au44418.
15. Pachter H. L. et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients //Journal of Trauma and Acute Care Surgery. – 1996. – V. 40. – №. 1. – P. 31-38.
16. Santucci R. A. et al. Evaluation and management of renal injuries: consensus statement of the renal trauma subcommittee //BJU international. – 2004. – V. 93. – №. 7. – P. 937-954. doi: 10.1111/j.1464-410X.2004.04820.x.
17. Hagiwara A. et al. The role of interventional radiology in the management of blunt renal injury: a practical protocol //Journal of Trauma and Acute Care Surgery. – 2001. – V. 51. – №. 3. – P. 526-531.
18. Richman S. D. et al. Superselective transcatheter embolization of traumatic renal hemorrhage //American Journal of Roentgenology. – 1977. – V. 128. – №. 5. – P. 843-846.
19. Wintermark M., Wicky S., Schnyder P. Imaging of acute traumatic injuries of the thoracic aorta //European radiology. – 2002. – V. 12. – №. 2. – P. 431-442. doi: 10.1007/s003300100971.
20. Richardson P. et al. Value of CT in determining the need for angiography when findings of mediastinal hemorrhage on chest radiographs are equivocal //AJR. American journal of roentgenology. – 1991. – V. 156. – №. 2. – P. 273-279.
21. Cohen A. M., Crass J. R. Traumatic lacerations of the aorta and great vessels with a normal mediastinum at radiography //Journal of Vascular and Interventional Radiology. – 1992. – V. 3. – №. 3. – P. 541-544.
22. Alkadhi H. et al. Vascular emergencies of the thorax after blunt and iatrogenic trauma: multi–detector row CT and three-dimensional imaging //Radiographics. – 2004. – V. 24. – №. 5. – P. 1239-1255.
23. Homma H. et al. Two-year follow-up after multiple injuries treated with endovascular stent-grafting of aorta and transcatheter arterial embolization of spleen: minimal invasive surgery for an elderly patient //Journal of Trauma and Acute Care Surgery. – 2002. – V. 52. – №. 2. – P. 382-386.
24. Yoon W. et al. Pelvic arterial hemorrhage in patients with pelvic fractures: detection with contrast-enhanced CT //Radiographics. – 2004. – P. 24. – №. 6. – P. 1591-1605. doi: 10.1148/rg.246045028.
25. Agolini S. F. et al. Arterial embolization is a rapid and effective technique for controlling pelvic fracture hemorrhage //Journal of Trauma and Acute Care Surgery. – 1997. – V. 43. – №. 3. – P. 395-399.
26. Eastridge B. J. et al. The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions //Journal of Trauma and Acute Care Surgery. – 2002. – V. 53. – №. 3. – P. 446-451.
27. Hak D. J. The role of pelvic angiography in evaluation and management of pelvic trauma //The Orthopedic Clinics of North America. – 2004. – V. 35. – №. 4. – P. 439-43. doi: 10.1016/j.ocl.2004.06.001.
28. Ghanayem A. J. et al. The effect of laparotomy and external fixator stabilization on pelvic volume in an unstable pelvic injury //Journal of Trauma and Acute Care Surgery. – 1995. – V. 38. – №. 3. – P. 396-401.
30. Hagiwara A. et al. Predictors of death in patients with life-threatening pelvic hemorrhage after successful transcatheter arterial embolization //Journal of Trauma and Acute Care Surgery. – 2003. – V. 55. – №. 4. – P. 696-703. doi: 10.1097/01.TA.0000053384.85091.C6.
31. Grimm M. R., Vrahas M. S., Thomas K. A. Pressure-volume characteristics of the intact and disrupted pelvic retroperitoneum //Journal of Trauma and Acute Care Surgery. – 1998. – V. 44. – №. 3. – P. 454-459.
32. Miller P. R. et al. External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage //Journal of Trauma and Acute Care Surgery. – 2003. – V. 54. – №. 3. – P. 437-443. doi: 10.1097/01.TA.0000053397.33827.DD.
33. Lyden S. P. et al. Common iliac artery dissection after blunt trauma: case report of endovascular repair and literature review //Journal of Trauma and Acute Care Surgery. – 2001. – V. 50. – №. 2. – P. 339-342.
34. Rieger M. et al. Traumatic arterial injuries of the extremities: initial evaluation with MDCT angiography //American Journal of Roentgenology. – 2006. – V. 186. – №. 3. – P. 656-664. doi: 10.2214/AJR.04.0756.
35. Miller-Thomas M. M., West O. C., Cohen A. M. Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls //Radiographics. – 2005. – V. 25. – №. suppl_1. – P. S133-S142. doi: 10.1148/rg.25si055511.
36. Conrad M. F. et al. Evaluation of vascular injury in penetrating extremity trauma: Angiographers stay home/discussion //The American Surgeon. – 2002. – V. 68. – №. 3. – P. 269.