Embolisation d’hémostase du thorax, de l’abdomen et du pelvis

Abstract

Endovascular embolization has become an essential technique for therapeutic management of thoracic, abdominal and pelvic hemorrhage. A multidisciplinary approach is fostered, involving the intensive care unit, surgeons, trained interventional radiologists and radiology technicians, available twenty-four hours a day and seven days a week, with adequate equipment. Computed tomography angiography is required in all but a few patients (postpartum hemorrhage), providing accurate information about the presence of active bleeding and especially its localization. These data allow determination of whether embolization is a reasonable treatment option, ensuring its success, reducing its duration and decreasing the risk of complication and rebleeding.