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 должны 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.
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.
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.
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.
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.
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.
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.
12. Wahl W. L. et al. Blunt splenic injury: operation versus angiographic embolization //Surgery. – 2004. – V. 136. – №. 4. – P. 891-899.
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.
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.
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.
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. – V. 24. – №. 6. – P. 1591-1605.
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. 26. Hak D. J. The role of pelvic angiography in evaluation and management of pelvic trauma //Orthopedic Clinics. – 2004. – V. 35. – №. 4. – P. 439-443.
27. 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.
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.
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.
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.
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.