Emergent vessel embolization for major traumatic and non-traumatic hemorrhage: Indications, tools and outcomes

Semin Vasc Surg. 2023 Jun;36(2):283-299. doi: 10.1053/j.semvascsurg.2023.04.011. Epub 2023 May 1.

Abstract

Endovascular embolization of bleeding vessels in trauma and non-trauma patients is frequently used and is an important tool for bleeding control. It is included in the EVTM (endovascular resuscitation and trauma management) concept and its use in patients with hemodynamic instability is increasing. When the correct embolization tool is chosen, a dedicated multidisciplinary team can rapidly and effectively achieve bleeding control. In this article, we will describe the current use and possibilities for embolization of major hemorrhage (traumatic and non-traumatic) and the published data supporting these techniques as part of the EVTM concept.

Keywords: Bleeding; Embolization; Endovascular; Trauma.

Publication types

  • Review

MeSH terms

  • Embolization, Therapeutic* / adverse effects
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / methods
  • Hemorrhage / etiology
  • Hemorrhage / therapy
  • Humans
  • Resuscitation / adverse effects
  • Resuscitation / methods