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Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
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Published on: December 2, 2013

Pelvic packing or angiography: competitive or complementary?

Takashi Suzuki1, Wade R Smith, Ernest E Moore

  • 1Department of Orthopaedic Surgery, Denver Health Medical Center, University of Colorado at Denver School of Medicine, 777 Bannock Street, Denver, CO 80204, USA.

Injury
|March 13, 2009
PubMed
Summary
This summary is machine-generated.

Pelvic angiography and pelvic packing are key for controlling arterial pelvic hemorrhage in unstable patients. This review explores their optimal roles in trauma centers for managing pelvic fractures.

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Last Updated: Jun 24, 2026

Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
09:49

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Published on: December 2, 2013

Area of Science:

  • Trauma Surgery
  • Interventional Radiology
  • Emergency Medicine

Background:

  • Pelvic fractures can cause life-threatening arterial hemorrhage.
  • Current management for hemodynamically unstable patients involves angiography and pelvic stabilization.
  • Limitations exist in rapidly screening for arterial bleeding and identifying specific sources.

Purpose of the Study:

  • To review current knowledge on pelvic angiography and pelvic packing.
  • To define the optimal roles of these interventions in trauma centers.
  • To address the need for improved screening tools for pelvic arterial bleeding.

Main Methods:

  • Review of recent literature on pelvic angiography and pelvic packing techniques.
  • Analysis of the efficacy of each modality in controlling pelvic hemorrhage.
  • Discussion of current paradigms and proposed optimal integration in trauma care.

Main Results:

  • Pelvic angiography is effective for arterial pelvic hemorrhage control.
  • Pelvic packing offers time-saving, minimally invasive hemorrhage control via tamponade.
  • Venous bleeding from fractured surfaces is a significant source not addressed by angiography.

Conclusions:

  • Angiography and pelvic packing are crucial for managing pelvic fracture hemorrhage.
  • Further research is needed for rapid screening tools for arterial bleeding.
  • Optimal integration of these techniques can improve outcomes for hemodynamically unstable patients.