Clinical Outcome of Intra-Arterial Embolization for Treatment of Patients with Pelvic Trauma

Autor: M. W. Barentsz, E. P. A. Vonken, J. A. van Herwaarden, L. P. H. Leenen, W. P. Th. M. Mali, M. A. A. J. van den Bosch
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Radiology Research and Practice, Vol 2011 (2011)
Druh dokumentu: article
ISSN: 2090-1941
2090-195X
DOI: 10.1155/2011/935484
Popis: Purpose. To analyse the technical success of pelvic embolization in our institution and to assess periprocedural hemodynamic status and morbidity/mortality of all pelvic trauma patients who underwent pelvic embolization. Methods. A retrospective analysis of patients with a pelvic fracture due to trauma who underwent arterial embolization was performed. Clinical data, pelvic radiographs, contrast-enhanced CT-scans, and angiographic findings were reviewed. Subsequently, the technical success and peri-procedural hemodynamic status were evaluated and described. Results. 19 trauma patients with fractures of the pelvis underwent arterial embolization. Initially, 10/19 patients (53%) were hemodynamically unstable prior to embolization. Technical success of embolization was 100%. 14/19 patients (74%) were stable after embolization, and treatment success was high as 74%. Conclusion. Angiography with subsequent embolization should be performed in patients with a pelvic fracture due to trauma and hemodynamic instability, after surgical intervention or with a persistent arterial blush indicative of an active bleeding on CT.
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