Embolization for a bleeding pelvic fracture in a patient with persistent sciatic artery.
Emergency embolization for a bleeding pelvic fracture was performed in a patient with persistent sciatic artery, a rare anatomic variation in which the internal iliac artery continues to the popliteal artery. Successful hemostasis was achieved without complications by means of selective catheterization into each branch of the internal iliac artery. Awareness of this unusual vascular anatomy is critically important to avoid serious complication of emergency embolization.
Hiki
Taro
T
Department of Radiology, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan.
Okada
Yoshitaka
Y
Wake
Kouji
K
Fujiwara
Atsushi
A
Kaji
Yasushi
Y
D000792:Angiography; D004621:Embolization, Therapeutic; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007083:Iliac Artery / Q000002:abnormalities*; D008875:Middle Aged; D010388:Pelvis / Q000000981:diagnostic imaging / Q000293:injuries*