Place de l'embolisation dans les traumatismes abdominaux dans un centre de traumatologie français de niveau 1

Abdominal traumas account for nearly 20% of all traumas. They often involve young polytrauma patient with a high mortality rate. Injury management must begin at the scene of the trauma and depend on a structured chain of care in order to admit trauma patient to the most suitable center. This management must be multidisciplinary between intensive care specialists, surgeons and radiologists. A precise work up of the lesions must be done by a whole body computed tomography with an arterial and venous phase. It helps to precisely identify the source of bleeding in case of hemorragia. Non-operative management has developed considerably over the years with the possibility of using selective embolization in case of active bleeding or vascular anomaly in stable patients with or without resuscitation. Embolization has become one of the corner stones of abdominal trauma management and interventionalists must be integrated in the trauma team. This overview will precise the different embolization procedures depending on the affected organ and embolic agent used.