Abstract
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.
Highlights
Major pelvic fractures occur in 4–9% of patients with blunt trauma, mainly high-speed traffic accidents or falls from height [1]
As treatment varies depending on location and type of hemorrhage, timely imaging is of critical importance
We review the recent literature on optimal imaging assessment and algorithms as well as the technique, results
Summary
Major pelvic fractures occur in 4–9% of patients with blunt trauma, mainly high-speed traffic accidents or falls from height [1]. Angiography with embolization for pelvic fracture hemorrhage, 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 fracturerelated arterial hemorrhage. In the current review imaging workup, patient selection, technique, results and complications of pelvic embolization are described.
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