Document Detail

Clinical outcome of intra-arterial embolization for treatment of patients with pelvic trauma.
MedLine Citation:
PMID:  22091386     Owner:  NLM     Status:  In-Data-Review    
Purpose. To analyse the technical success of pelvic embolization in our institution and to assess periprocedural hemodynamic status and morbidity/mortality of all pelvic trauma patients who underwent pelvic embolization. Methods. A retrospective analysis of patients with a pelvic fracture due to trauma who underwent arterial embolization was performed. Clinical data, pelvic radiographs, contrast-enhanced CT-scans, and angiographic findings were reviewed. Subsequently, the technical success and peri-procedural hemodynamic status were evaluated and described. Results. 19 trauma patients with fractures of the pelvis underwent arterial embolization. Initially, 10/19 patients (53%) were hemodynamically unstable prior to embolization. Technical success of embolization was 100%. 14/19 patients (74%) were stable after embolization, and treatment success was high as 74%. Conclusion. Angiography with subsequent embolization should be performed in patients with a pelvic fracture due to trauma and hemodynamic instability, after surgical intervention or with a persistent arterial blush indicative of an active bleeding on CT.
M W Barentsz; E P A Vonken; J A van Herwaarden; L P H Leenen; W P Th M Mali; M A A J van den Bosch
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Publication Detail:
Type:  Journal Article     Date:  2011-04-19
Journal Detail:
Title:  Radiology research and practice     Volume:  2011     ISSN:  2090-195X     ISO Abbreviation:  Radiol Res Pract     Publication Date:  2011  
Date Detail:
Created Date:  2011-11-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101566860     Medline TA:  Radiol Res Pract     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  935484     Citation Subset:  -    
Department of Radiology, University Medical Center Utrecht, Room E.01.132, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
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