Endovascular Therapy

in Overview of Vascular Disease

Applied

Type

Addition

Confidence

80%

Created

Mar 27, 2026

Evidence

1 source

Rationale

The section was updated to include REBOA and angioembolization for pelvic trauma, reflecting the evidence from Anand et al. (2022) which analyzed hemorrhage control interventions in a large trauma cohort. Abbreviations were expanded on first use (DCB, DES, ALI, REBOA) to comply with the style guidelines.

Evidence

Anand T, et al. Association Between Hemorrhage Control Interventions and Mortality in US Trauma Patients With Hemodynamically Unstable Pelvic Fractures. JAMA Surg. 2022;157(12):e225772. PMID: 36449300.
Verified source
PubMedDOI

Content Changes

* **percutaneous transluminal angioplasty (PTA):** Widely used for focal lesions, especially in iliac arteries.
* **Drug-coated devicesdevices:** (DCB/DES):**Drug-coated Improveballoons (DCB) and drug-eluting stents (DES) improve patency in femoropopliteal disease; see [[Peripheral Artery Disease|Ch. 10]] for evidence and paclitaxel safety considerations.
* **endovascular aneurysm repair (EVAR)/thoracic endovascular aortic repair (TEVAR):** Reduced perioperative mortality compared to open repair; see [[Aneurysmal Diseases|Ch. 4]] for RCT evidence and patient selection.
* **Thrombectomy:** Penumbra Indigo and AngioJet systems effective in acute limb ischemia (ALI) [@hsiao2019].
* **Embolization:** Indicated for visceral aneurysms, endoleaks, hemorrhage.and hemorrhage control, including arterial embolization for hemodynamically unstable pelvic fractures [@anand2022].
* **resuscitative endovascular balloon occlusion of the aorta (REBOA):** Utilized for temporary hemorrhage control in trauma patients with life-threatening subdiaphragmatic bleeding, often as part of a multi-modal approach alongside angioembolization or surgery [@anand2022].

> **See Also:** Disease-specific techniques: [[Aneurysmal Diseases|Ch. 4]], [[Peripheral Artery Disease|Ch. 10]], [[endovascular trauma management (EVTM)|Ch. 16]].
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