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<p>Traumatic injuries to the liver, spleen and kidneys often pose a&#xa0;challenge in acute care. In addition to conservative and surgical treatment, interventional radiology provides a&#xa0;minimally invasive option for bleeding control and organ preservation. The indications for transarterial embolization depend on the hemodynamic stability, imaging results and accompanying injuries. Special technical aspects, such as the selection of embolization material, microcatheter techniques and consideration of anatomical conditions are crucial for treatment success. Knowledge of the indications, contraindications and technical details enables targeted, patient-oriented treatment. Interventional procedures reduce the need for open surgery, lower the mortality in severely injured patients and help to preserve organ function. This article highlights the role of interventional radiology in the care of trauma patients with bleeding in the solid organs of the upper abdomen.</p>

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Interventionell-radiologisches Management von traumatischen Verletzungen der soliden Oberbauchorgane

  • 期刊论文

  • 发表日期：

    2026年1月14日

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  • Cornelia L. A. Dewald,
  • Lena S. Becker,
  • Marcel Winkelmann,
  • Elena Wagenleitner,
  • Frank K. Wacker

摘要

Traumatic injuries to the liver, spleen and kidneys often pose a challenge in acute care. In addition to conservative and surgical treatment, interventional radiology provides a minimally invasive option for bleeding control and organ preservation. The indications for transarterial embolization depend on the hemodynamic stability, imaging results and accompanying injuries. Special technical aspects, such as the selection of embolization material, microcatheter techniques and consideration of anatomical conditions are crucial for treatment success. Knowledge of the indications, contraindications and technical details enables targeted, patient-oriented treatment. Interventional procedures reduce the need for open surgery, lower the mortality in severely injured patients and help to preserve organ function. This article highlights the role of interventional radiology in the care of trauma patients with bleeding in the solid organs of the upper abdomen.