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Tsurkan V.A.

Botkin Moscow City Clinical Hospital

Shabunin A.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Grekov D.N.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Arablinskiy A.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Yakimov L.A.

Sechenov First Moscow State Medical University

Shikov D.V.

Botkin Moscow City Clinical Hospital

Ageeva A.A.

Botkin Moscow City Clinical Hospital

Endovascular technologies in the treatment of patients with blunt abdominal trauma

Authors:

Tsurkan V.A., Shabunin A.V., Grekov D.N., Bedin V.V., Arablinskiy A.V., Yakimov L.A., Shikov D.V., Ageeva A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(8): 108‑117

DOI: 10.17116/hirurgia2024081108

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To cite this article:

Tsurkan VA, Shabunin AV, Grekov DN, et al. . Endovascular technologies in the treatment of patients with blunt abdominal trauma. Pirogov Russian Journal of Surgery. 2024;(8):108‑117. (In Russ.)
https://doi.org/10.17116/hirurgia2024081108

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Trauma is one of the leading causes of disability and mortality in working-age population. Abdominal injuries comprise 20—30% of traumas. Uncontrolled bleeding is the main cause of death in 30—40% of patients. Among abdominal organs, spleen is most often damaged due to fragile structure and subcostal localization. In the last two decades, therapeutic management has become preferable in patients with abdominal trauma and stable hemodynamic parameters. In addition to clinical examination, standard laboratory tests and ultrasound, as well as contrast-enhanced CT of the abdomen should be included in diagnostic algorithm to identify all traumatic injuries and assess severity of abdominal damage. Development of interventional radiological technologies improved preservation of damaged organs. Endovascular embolization can be performed selectively according to indications (leakage, false aneurysm, arteriovenous anastomosis) and considered for severe damage to the liver and spleen, hemoperitoneum or severe polytrauma. Embolization is essential in complex treatment of traumatic vascular injuries of parenchymal abdominal organs. We reviewed modern principles and methods of intra-arterial embolization for the treatment of patients with traumatic injuries of the liver and spleen.

Keywords:

embolization
intra-arterial embolization
liver trauma
spleen trauma
non-operative management

Authors:

Tsurkan V.A.

Botkin Moscow City Clinical Hospital

Shabunin A.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Grekov D.N.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Bedin V.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Arablinskiy A.V.

Botkin Moscow City Clinical Hospital;
Russian Medical Academy of Continuous Professional Education

Yakimov L.A.

Sechenov First Moscow State Medical University

Shikov D.V.

Botkin Moscow City Clinical Hospital

Ageeva A.A.

Botkin Moscow City Clinical Hospital

Received:

16.12.2023

Accepted:

17.01.2024

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