Interventional radiology for paediatric trauma

Sidhu, Manrita; Hogan, Mark; Shaw, Dennis; Burdick, Thomas

doi:10.1007/s00247-008-1082-8

Cited by 13 publications

(4 citation statements)

References 57 publications

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“…12 Interventional radiological techniques have been hugely successful in controlling haemorrhage in haemodynamically unstable patients. 13 The present case has highlighted their utility for pseudo-aneurysm treatment. Prompt transfer to a centre where the expertise exists for a combined radiological and surgical approach is recommended.…”

Section: Discussionmentioning

confidence: 67%

Paediatric axillary artery pseudo-aneurysm after simple shoulder dislocation

et al. 2017

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We report the unique case of a 14-year-old male with axillary artery pseudo-aneurysm associated with brachial plexus compression after a simple shoulder dislocation. Following shoulder reduction under anaesthetic, the child was discharged on chemical deep vein thrombosis (DVT) prophylaxis. However, progressive shoulder swelling and upper limb neurological symptoms developed. A multi-disciplinary approach was taken to diagnose and treat this complication. After stopping the anti-coagulants, a combination of endovascular stent-graft and open surgical decompression of the brachial plexus was employed. Paediatric guidelines on DVT prophylaxis are scarce but DVT has never been reported in children following upper limb trauma.

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Section: Discussionmentioning

confidence: 67%

Paediatric axillary artery pseudo-aneurysm after simple shoulder dislocation

et al. 2017

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“…This would suggest there are around 0.1–0.3%, or 20 000–60 000 Australians with asplenia. However, the incidence of splenectomy may be decreasing with the increasing use of splenic artery embolisation (SAE) following trauma …”

Section: Identifying Patients At Riskmentioning

confidence: 99%

“…However, the incidence of splenectomy may be decreasing with the increasing use of splenic artery embolisation (SAE) following trauma. 14,15 Surgical splenectomy, either following trauma or therapeutically, is the most common reason for asplenia. 13 As such, maximal efforts should be made to preserve healthy splenic tissue and therefore splenic function.…”

Section: Identifying Patients At Riskmentioning

confidence: 99%

Spleen Australia guidelines for the prevention of sepsis in patients with asplenia and hyposplenism in Australia and New Zealand

Kanhutu

Jones

Cheng

et al. 2017

Internal Medicine Journal

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People with asplenia/hyposplenism are at increased risk of fulminant sepsis, which carries a high mortality rate. A range of preventive measures is recommended although there is ongoing evidence that knowledge of and adherence to these strategies is poor. There have been significant changes in recommended vaccinations since the previously published recommendations in 2008. We provide current recommendations to help Australian and New Zealand clinicians in the prevention of sepsis in patients with asplenia and hyposplenia. The guideline includes Australian epidemiological data, preferred diagnostic techniques and recommendations for optimal antimicrobial prophylaxis and vaccination protocols.

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“…A stable AAST liver grade II or III patient is a good example where angioembolism can be successfully used in either adults or children [30,[33][34][35].…”

Section: Hepatic Traumamentioning

confidence: 99%

Non-Operative Management of Hepatic Trauma and the Interventional Radiology: An Update Review

Pereira¹

2012

Indian J Surg

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The growing trend to manage hepatic injuries nonoperatively has been increasing demand for advanced endovascular interventions. This brings up the necessity for general and trauma surgeons to update their knowledge in such matter. Effective treatment mandates a multispecialty team effort that is usually led by the trauma surgeon and includes vascular surgery, orthopedics, and, increasingly, interventional radiology. The focus on hemorrhage control and the angiographer's unique access to vascular structures gives interventional radiology (IR) an important and increasingly recognized role in the treatment of patients with hemodynamic instability. Our aim is to review the basic concepts of IR primarily in hepatic trauma and secondarily in some other special situations. A liver vascular anatomy review is also needed for better understanding the roles of IR. As a final point we propose a guideline for the operative/nonoperative management of traumatic hepatic injuries. The benefit of multidisciplinary approach (TAE) appears to be a powerful weapon in the medical arsenal against the high mortality of injured trauma liver patients.

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Interventional radiology for paediatric trauma

Cited by 13 publications

References 57 publications

Paediatric axillary artery pseudo-aneurysm after simple shoulder dislocation

Paediatric axillary artery pseudo-aneurysm after simple shoulder dislocation

Spleen Australia guidelines for the prevention of sepsis in patients with asplenia and hyposplenism in Australia and New Zealand

Non-Operative Management of Hepatic Trauma and the Interventional Radiology: An Update Review

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