Format

Send to

Choose Destination
Radiol Res Pract. 2011;2011:935484. doi: 10.1155/2011/935484. Epub 2011 Apr 19.

Clinical outcome of intra-arterial embolization for treatment of patients with pelvic trauma.

Author information

1
Department of Radiology, University Medical Center Utrecht, Room E.01.132, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.

Abstract

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.

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center