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Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

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Published on: May 19, 2022

[Arterial embolisation for post-traumatic retroperitoneal bleeding].

Izabela Budzisz¹, Grzegorz Wasilewski, Dariusz Onichimowski

¹Department of Anaesthesiology and Intensive Therapy, Regional Specialist Hospital in Olsztyn,ul. Żołnierska.

Anestezjologia Intensywna Terapia

|October 21, 2011

Summary

This summary is machine-generated.

Angiography with embolization can be a life-saving intervention for severe pelvic trauma bleeding, particularly in patients with coagulopathy unresponsive to surgery.

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Area of Science:

Trauma Surgery
Interventional Radiology
Emergency Medicine

Background:

Road traffic accidents are a leading cause of mortality in young adults.
Pelvic injuries from trauma present significant challenges in hemostasis and hemorrhage control.
Traditional treatments for pelvic trauma bleeding include surgery, packing, and stabilization, with variable success.

Observation:

A 24-year-old male with multiple traumatic injuries, including pelvic fractures, experienced persistent bleeding and hemodynamic instability post-laparotomy.
Coagulopathy complicated the management of massive retroperitoneal hemorrhage from a ruptured spleen, ureter, and bladder.
Bleeding originated from the superior gluteal artery, unresponsive to initial surgical management.

Findings:

Angiography with embolization of the superior gluteal artery successfully controlled hemorrhage.
The patient achieved immediate hemostatic control and hemodynamic stabilization following the embolization procedure.
This case highlights the efficacy of angioembolization in managing complex pelvic trauma-associated bleeding.

Implications:

Angiography with embolization is a critical, potentially life-saving option for severe traumatic pelvic bleeding.
It offers a valuable alternative in cases of coagulopathy or failed surgical hemostasis.
This technique can significantly improve outcomes for patients with life-threatening pelvic hemorrhage.