[Embolization of the lumbar artery for pelvic fracture].
Bleeding from the lumbar artery could be a major source of hemorrhage in a patient with massive blood loss associated with pelvic fracture. Embolization of injured lumbar artery should be attempted since hemorrhaging from the lumbar artery could be a cause of potentially life-threatening retroperitoneal hemorrhage. Selective lumbar arteriography is often helpful to diagnose bleeding from a lumbar artery, which is occasionally overlooked in pelvic aortography. We have not experienced any complications from using gelatin sponge (Gelfoam) cubes, cut into 1-2 mm pieces, for embolization of the bleeding artery.
Hori
A
A
Nagata
Y
Y
Hanashiro
Y
Y
Ohshiro
K
K
Shimabukuro
K
K
Mekaru
T
T
Ie
T
T
Sunagawa
K
K
D000009:Abdominal Muscles / Q000098:blood supply*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000293:injuries; D004621:Embolization, Therapeutic; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010384:Pelvic Bones / Q000293:injuries*