Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article

被引:0
作者
Diederik J. Wijffels
Diederik O. Verbeek
Kornelis J. Ponsen
J. Carel Goslings
Otto M. van Delden
机构
[1] University of Amsterdam (UvA),Department of Radiology, Academic Medical Center (AMC)
[2] University of Amsterdam (UvA),Trauma Unit, Academic Medical Center (AMC)
[3] Medisch Centrum Alkmaar (MCA),Department of Surgery
来源
CardioVascular and Interventional Radiology | 2019年 / 42卷
关键词
Embolization; Trauma; Pelvic fracture; Imaging;
D O I
暂无
中图分类号
学科分类号
摘要
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.
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页码:10 / 18
页数:8
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