Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre

CVIR Endovascular

Greg Ramjas¹  Amir Awwad²  Waleed Al-Obaydi²  Permesh Singh Dhillon³  Said B. Habib⁴ 

[1] Interventional Radiology, Queen’NIHR Nottingham Biomedical Research Centre, Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, Nottingham, UK;Radiology Department, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK;s Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK

关键词: Trans-arterial embolisation;    Intervention;    Pelvic trauma;    Haemorrhage;    Gelfoam;    Coils;   

DOI  :  10.1186/s42155-018-0031-3

学科分类：放射科、核医学、医学影像

来源: Springer

【 摘 要 】

Management of pelvic fracture associated haemorrhage is often complex with high morbidity and mortality rates. Different treatment options are used to control bleeding with an on-going discussion in the trauma community regarding the best management algorithm. Recent studies have shown trans-arterial embolisation (TAE) to be a safe and effective technique to control pelvic fracture associated haemorrhage. Computed tomography (CT) evidence of active bleeding, haemodynamic instability, and pelvic fracture patterns are amongst important indicators for TAE. Herein, we aim to provide a comprehensive literature review of the effectiveness of TAE in controlling haemorrhage secondary to pelvic fracture according to the indications, technique and embolic agents, and outcomes, whilst incorporating our Level 1 major trauma centre’s (MTC) results between 2014-2017.

【 授权许可】

CC BY