TY - JOUR
T1 - Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article
AU - Wijffels, Diederik J.
AU - Verbeek, Diederik O.
AU - Ponsen, Kornelis J.
AU - Carel Goslings, J.
AU - van Delden, Otto M.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85053524185&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30225676
U2 - https://doi.org/10.1007/s00270-018-2071-4
DO - https://doi.org/10.1007/s00270-018-2071-4
M3 - Article
C2 - 30225676
SN - 0174-1551
VL - 42
SP - 10
EP - 18
JO - Cardiovascular and interventional radiology
JF - Cardiovascular and interventional radiology
IS - 1
ER -