Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article

Journal Article · Tue Jan 15 04:00:00 EST 2019 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-018-2071-4· OSTI ID:22953175

Delden, Otto M. van, ^[1]

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1. University of Amsterdam (UvA), Department of Radiology, Academic Medical Center (AMC) (Netherlands)

Pelvic fractures are potentially life-threatening injuries with high mortality rates, mainly due to intractable pelvic arterial bleeding. However, concomitant injuries are frequent and may also be the cause of significant blood loss. As treatment varies depending on location and type of hemorrhage, timely imaging is of critical importance. Contrast-enhanced CT offers fast and detailed information on location and type of bleeding. Angiography with embolization for pelvic fracture hemorrhage, particularly when performed early, has shown high success rates as well as low complication rates and is currently accepted as the first method of bleeding control in pelvic fracture-related arterial hemorrhage. In the current review imaging workup, patient selection, technique, results and complications of pelvic embolization are described.

• OSTI ID: 22953175
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 42; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BLOOD
BLOOD VESSELS
COMPUTERIZED TOMOGRAPHY
HEMORRHAGE
INJURIES
MORTALITY
PATIENTS
PELVIS
VASCULAR DISEASES