title: Pelvic trauma and vascular emergencies.
abstract: Pelvic ring injuries carry a high mortality rate, the main cause of which, in the first 24hours, is exsanguination. Injured patients are managed by a multidisciplinary damage-control strategy. Unstable patients should have instrumentalized hemostasis without delay. Arterial embolization is an effective way of achieving this and justifies this approach being permanently available in level 1 trauma-centers. After CT assessment of injuries, stable patients can undergo arterial embolization if active arterial bleeding or vascular damage is present. The embolization methods (selective or unselective) and agents used depend on the patient's hemodynamic stage and assessment of the injury whenever possible.
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France. Electronic address: ugo.scemama@ap-hm.fr.
authors.forename: U
authors.initials: U
authors.lastname: Scemama
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Dabadie
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Varoquaux
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: J
authors.initials: J
authors.lastname: Soussan
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: C
authors.initials: C
authors.lastname: Gaudon
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Louis
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: K
authors.initials: K
authors.lastname: Chaumoître
authors.affiliation: Department of diagnostic and interventional medical imaging, La Timone Hospital, 264, rue Saint-Pierre, 13005 Marseille, France.
authors.forename: V
authors.initials: V
authors.lastname: Vidal
mesh_terms: D000293:Adolescent; D000328:Adult; D000465:Algorithms; D000792:Angiography; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003299:Cooperative Behavior; D004621:Embolization, Therapeutic / Q000379:methods; D004632:Emergency Medical Services; D058734:Exsanguination / Q000401:mortality; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D061330:Multidetector Computed Tomography; D010384:Pelvic Bones / Q000293:injuries*; D010388:Pelvis / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
keywords: Embolization; Multiple injury; Pelvis