Key result
CT-guided transcatheter embolization effectively controls pelvic fracture arterial bleeding with low complication rates.
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Pelvic fractures are potentially life-threatening injuries with high mortality rates, mainly due to intractable pelvic arterial bleeding. However, concomitant injuries are frequent and may also be the cause of significant blood loss. As treatment varies depending on location and type of hemorrhage, timely imaging is of critical importance. Contrast-enhanced CT offers fast and detailed information on location and type of bleeding. Angiography with embolization for pelvic fracture hemorrhage, particularly when performed early, has shown high success rates as well as low complication rates and is currently accepted as the first method of bleeding control in pelvic fracture-related arterial hemorrhage. In the current review imaging workup, patient selection, technique, results and complications of pelvic embolization are described.
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Wijffels et al. (2018) conducted a review in Bleeding pelvic fractures. Angiography with embolization and contrast-enhanced CT was evaluated on Bleeding control in pelvic fracture-related arterial hemorrhage. Angiography with embolization, guided by contrast-enhanced CT, achieves high success and low complication rates as the first-line method for controlling pelvic fracture-related arterial hemorrhage.
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