title: Characterization and outcomes of iliac vessel injury in the 21st century: a review of the National Trauma Data Bank.
abstract: BACKGROUND
  Iliac vessel trauma (IVT) is traditionally associated with high mortality. We evaluated a modern series of patients with IVT to assess current outcomes and endovascular therapy use.
  
  
  METHODS
  We performed a retrospective review of the National Trauma Data Bank. Patients with IVT were stratified by blunt and penetrating mechanism and arterial and venous injury.
  
  
  RESULTS
  In blunt IVT, there was no significant difference in mortality between those with and without pelvic fractures (odds ratio [OR] 0.61, 95% confidence interval [CI] 0.36-1.06). In penetrating IVT, combined arterial and venous IVT was associated with higher mortality (OR 1.70, 95% CI 1.06-2.70) compared to isolated arterial IVT. Isolated venous IVT was associated with lower mortality (OR 0.55, 95% CI 0.35-0.85) compared to isolated arterial IVT. Endovascular stenting was utilized in 11.3% of blunt IVT with pelvic fractures, 6.3% of blunt IVT without pelvic fractures, and 1.8% of penetrating IVT.
  
  
  CONCLUSIONS
  Iliac Vessel Trauma has significant mortality. Endovascular intervention for IVT is applied sparingly.
authors: Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston, MA 02118, USA.
authors: Margaret H
authors: MH
authors: Lauerman
authors: Denis
authors: D
authors: Rybin
authors: Gheorghe
authors: G
authors: Doros
authors: Jeffrey
authors: J
authors: Kalish
authors: Naomi
authors: N
authors: Hamburg
authors: Robert T
authors: RT
authors: Eberhardt
authors: Alik
authors: A
authors: Farber
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000401:mortality; D005260:Female; D050723:Fractures, Bone / Q000401:mortality / Q000628:therapy; D006801:Humans; D007083:Iliac Artery / Q000293:injuries* / Q000601:surgery*; D007084:Iliac Vein / Q000293:injuries* / Q000601:surgery*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D010384:Pelvic Bones / Q000293:injuries; D012189:Retrospective Studies; D012307:Risk Factors; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D057772:Vascular System Injuries / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000401:mortality / Q000601:surgery / Q000628:therapy*
keywords: iliac artery; iliac vein; vascular trauma