title: Clinical outcome of intra-arterial embolization for treatment of patients with pelvic trauma.
abstract: 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.
authors.affiliation: Department of Radiology, University Medical Center Utrecht, Room E.01.132, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
authors.forename: M W
authors.initials: MW
authors.lastname: Barentsz
authors.forename: E P A
authors.initials: EP
authors.lastname: Vonken
authors.forename: J A
authors.initials: JA
authors.lastname: van Herwaarden
authors.forename: L P H
authors.initials: LP
authors.lastname: Leenen
authors.forename: W P Th M
authors.initials: WP
authors.lastname: Mali
authors.forename: M A A J
authors.initials: MA
authors.lastname: van den Bosch
references.citation: J Trauma. 2002 Aug;53(2):303-8; discussion 308
references.pmid: 12169938
references.citation: J Trauma. 2007 Apr;62(4):834-9; discussion 839-42
references.pmid: 17426537
references.citation: J Trauma. 2003 Mar;54(3):437-43
references.pmid: 12634521
references.citation: J Orthop Trauma. 2002 Sep;16(8):553-61
references.pmid: 12352563
references.citation: Surgery. 2000 Oct;128(4):678-85
references.pmid: 11015102
references.citation: Injury. 2001 Jan;32(1):27-32
references.pmid: 11164398
references.citation: Arch Surg. 2003 May;138(5):504-8; discussion 508-9
references.pmid: 12742953
references.citation: J Trauma. 2005 May;58(5):978-84; discussion 984
references.pmid: 15920412
references.citation: Clin Orthop Relat Res. 1996 Aug;(329):60-7
references.pmid: 8769437
references.citation: J Trauma. 2002 Sep;53(3):446-50; discussion 450-1
references.pmid: 12352479
references.citation: J Am Acad Orthop Surg. 1996 May;4(3):143-151
references.pmid: 10795049
references.citation: AJR Am J Roentgenol. 1993 Jul;161(1):65-9
references.pmid: 8517323
references.citation: Surg Clin North Am. 1988 Aug;68(4):757-73
references.pmid: 3046004
references.citation: J Trauma. 1995 Feb;38(2):185-93
references.pmid: 7869433
references.citation: Prog Cardiovasc Dis. 1968 Jul;11(1):1-17
references.pmid: 4875352
references.citation: AJR Am J Roentgenol. 1996 Jan;166(1):131-5
references.pmid: 8571861
references.citation: Curr Opin Crit Care. 2003 Dec;9(6):515-23
references.pmid: 14639072
references.citation: AJR Am J Roentgenol. 1991 Nov;157(5):1005-14
references.pmid: 1927786
references.citation: J Trauma. 2005 May;58(5):973-7
references.pmid: 15920411
references.citation: J Trauma. 2005 Feb;58(2):227-31
references.pmid: 15706180
references.citation: Crit Care. 2007;11(1):204
references.pmid: 17300738
references.citation: Ann Surg. 2001 Jun;233(6):843-50
references.pmid: 11407336
references.citation: J Trauma. 2005 May;58(5):985-90
references.pmid: 15920413
references.citation: J Am Coll Surg. 2002 Jul;195(1):1-10
references.pmid: 12113532
references.citation: N Engl J Med. 1976 Jun 17;294(25):1406-7
references.pmid: 1264182
references.citation: J Trauma. 2004 Aug;57(2):271-6; discussion 276-7
references.pmid: 15345972
references.citation: J Trauma. 1999 Oct;47(4):638-42
references.pmid: 10528596
references.citation: J Trauma. 1997 Sep;43(3):395-9
references.pmid: 9314298
references.citation: J Trauma. 2003 Oct;55(4):696-703
references.pmid: 14566125
references.citation: J Trauma. 2000 Jul;49(1):71-5
references.pmid: 10912860