Endovascular management of pelvic trauma

Pelvic trauma: review of arterial lesions and endovascular treatment

Prognostic factors in endovascular treated pelvic haemorrhage after blunt trauma

BACKGROUND Angioembolization is the method of choice for treating haemorrhage after blunt pelvic trauma. The aim of this study was to determine technical factors related to endovascular procedures which might be related to patient outcome. METHODS This retrospective study included 112 consecutive patients (40 women and 72 men; mean age 57.2 ± 20.0). RESULTS There were age peaks at 43 and at...

Pelvic Trauma

Patients with traumatic pelvic ring injury may represent an immense challenge for the emergency physician. First, patients with pelvic ring fractures are at risk for exsanguinating pelvic hemorrhage. Furthermore, the profound magnitude of force required to disrupt the pelvic ring frequently causes severe injuries to other organ systems. The resuscitation from hemorrhagic shock, rapid identifica...

Endovascular management of trauma related renal artery thrombosis.

Patients with grade IV or V renal injury frequently have associated visceral injuries that can limit options such as open surgical repair or anticoagulation. The use of endovascular stents to treat trauma-induced renal artery thrombosis and intimal damage appears promising. However, data verifying the effectiveness of the treatment is lacking. We present a case of acute renal artery revasculari...

Western Trauma Association Critical Decisions in Trauma: Management of pelvic fracture with hemodynamic instability-2016 updates.

The management of patients with hemodynamic instability from pelvic fracture is challenging and controversial. Mortality rates have ranged from 18% to 40% in reported series and death within the first 24 hours of injury was most often a result of acute blood loss. Significant decreases in mortality rates have been shown with adoption of algorithms for management of these injuries. The key issue...