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Semin intervent Radiol 2020; 37(01): 024-030
DOI: 10.1055/s-0039-3402017
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Clinical Approach to and Work-up of Bleeding Patients

Shantanu Warhadapande
1   Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Sean R. Dariushnia
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Nima Kokabi
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
William G. O'Connell
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Janice M. Newsome
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Laura K. Findeiss
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
,
Bill S. Majdalany
2   Division of Vascular and Interventional Radiology, Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia
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Publikationsdatum:
04. März 2020 (online)

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Abstract

A bleeding patient is a common consult for interventional radiologists. Prompt triage, preprocedural evaluation specific to the site of hemorrhage, and knowledge of resuscitative strategies allow for a potentially life-saving procedure to be appropriately and safely performed. Having a firm understanding of the clinical work-up and management of a bleeding patient has never been more important. In this article, a discussion of the clinical approach and work-up of a bleeding patient for whom interventional radiology is consulted is followed by a discussion of etiology-specific preprocedural work-up.

Keywords

interventional radiology - trauma - hemorrhage - embolization - clinical approach - bleeding

Disclosures

Z.L.B.: Coulter Grant recipient, speaker for Terumo.


R.M.E.: Speaker for Terumo.


The remainder of the authors have no relevant disclosures.


Notes

All authors have read and contributed to this manuscript.