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Related Experiment Videos

Angiographic embolisation in pelvic fracture

J V Perez1, T M Hughes, K Bowers

  • 1Westmead Hospital, Sydney, Australia.

Injury
|August 26, 1998
PubMed
Summary

Pelvic angiography can control pelvic fracture bleeding, but its applicability is limited. Sepsis is a risk, especially before internal fixation, necessitating caution with this interventional radiology technique.

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Area of Science:

  • Interventional Radiology
  • Trauma Surgery
  • Vascular Medicine

Background:

  • Pelvic fractures often cause severe hemorrhage, necessitating effective treatment strategies.
  • Pelvic angiography with embolization is a recognized method for controlling arterial bleeding from pelvic fractures, particularly from internal iliac artery branches.

Purpose of the Study:

  • To evaluate the applicability and outcomes of pelvic angiography in managing hemorrhage associated with pelvic fractures.
  • To identify potential complications and define parameters for successful embolization in this patient cohort.

Main Methods:

  • A retrospective review of all patients undergoing pelvic angiography for pelvic fracture hemorrhage over a 10-year period at a single institution.
  • Analysis of the technique's applicability, embolization success, complication rates, and patient outcomes, including sepsis and need for further surgery.

Main Results:

  • Pelvic angiography was applicable in a minority of pelvic fracture cases.
  • Sepsis was a common complication in patients who subsequently underwent internal fixation of the pelvic fracture.
  • While effective for hemorrhage control, standardized parameters for successful pelvic angiography intervention remain undefined.

Conclusions:

  • Pelvic angiography is a potentially useful tool for controlling hemorrhage in pelvic fractures.
  • Caution is advised when using pelvic angiography, especially in patients proceeding to internal fixation of the pelvic ring.
  • Further research is needed to establish standardized parameters for successful pelvic angiography interventions in trauma patients.

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