Evaluation and Treatment of Blunt Pelvic Trauma

Tech Vasc Interv Radiol. 2017 Dec;20(4):237-242. doi: 10.1053/j.tvir.2017.10.002. Epub 2017 Oct 7.

Abstract

Trauma is a significant contributor to mortality, especially in the young. Pelvic trauma with pelvic ring fractures may result in associated arterial injury, necessitating endovascular intervention. As a result, interventional radiology plays a critical role in partnering with trauma providers in the care of these patients. Management is determined by the acuity of the patient's clinical status, radiographs, ultrasound, and the results of computed tomography imaging when available. Numerous embolic agents are available for treatment of arterial hemorrhage.

Keywords: Blunt pelvic trauma; CTA; angiography; embolization; hemorrhage.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Injuries / diagnostic imaging
  • Abdominal Injuries / physiopathology
  • Abdominal Injuries / therapy*
  • Adolescent
  • Aged
  • Angiography, Digital Subtraction
  • Computed Tomography Angiography
  • Embolization, Therapeutic / adverse effects
  • Embolization, Therapeutic / methods*
  • Endovascular Procedures / adverse effects
  • Endovascular Procedures / instrumentation
  • Endovascular Procedures / methods*
  • Female
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / physiopathology
  • Hemodynamics
  • Humans
  • Pelvic Bones / diagnostic imaging
  • Pelvic Bones / injuries*
  • Pelvis / blood supply*
  • Radiography, Interventional*
  • Regional Blood Flow
  • Stents
  • Treatment Outcome
  • Ultrasonography
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / therapy*
  • Wounds, Nonpenetrating / diagnostic imaging
  • Wounds, Nonpenetrating / physiopathology
  • Wounds, Nonpenetrating / therapy*