Delayed and Chronic Sequelae of Trauma and the Role of the Interventional Radiologist

Abstract

In addition to acute injury requiring interventional radiologic treatments, patients with traumatic injuries can develop delayed or chronic complications. These injuries can involve nearly all solid organs in the abdomen. Coupled with significant improvements in visualizing these injuries with advanced imaging techniques such as minimally invasive procedures, nonoperative management of both acute traumatic injuries and their longer term sequelae has become the norm. This article reviews frequently seen complications of traumatic injury and their management by interventional radiologists.

Role of Interventional Radiologists in Trauma Centers

“…다만 중증 외상의 경우 대량출혈로 인한 파종성 혈관 내 응고(disseminated intravascular coagulation; DIC)로 진행하기 쉬우므로 일시적 폐색을 위한 젤라틴 스펀지 입자보다는 영구적 폐색을 유도하는 NBCA 등이 장려되는 경향이 있다. 인터벤션 영상의학적 치료는 초기응급손상시기에도 필요하지만 지연성 혹은 만성 시기에 발생하는 합병증의 치료를 위해서도 필요하다( 8 ).…”