Selective angioembolization in a pelvic fracture patient with refractory bleeding and hemodynamic instability

Makoto Aoki; Hiroyuki Tokue; Hisao Yajima; Yuta Isshiki; Yusuke Sawada; Kazunori Fukushima; Yuto Aramaki; Kiyohiro Oshima

doi:10.1016/j.radcr.2020.02.035

Selective angioembolization in a pelvic fracture patient with refractory bleeding and hemodynamic instability

Radiol Case Rep. 2020 Mar 24;15(5):624-627. doi: 10.1016/j.radcr.2020.02.035. eCollection 2020 May.

Authors

Makoto Aoki^{1

2}, Hiroyuki Tokue², Hisao Yajima^{1

2}, Yuta Isshiki¹, Yusuke Sawada¹, Kazunori Fukushima¹, Yuto Aramaki¹, Kiyohiro Oshima¹

Affiliations

¹ Department of Emergency Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
² Department of Diagnostic and Interventional Radiology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Abstract

Angioembolization for hemodynamically unstable patients with pelvic fracture has become the standard of care. However, the selection and extent of contrast of the distal artery in such patients remains undetermined. In this case, an octogenarian man was hit by a truck and was hemodynamically unstable with pelvic fracture. Based on enhanced computed tomography, selective angiography visualized arterial extravasation and the arterial bleeding could be arrested. This approach may be required for the treatment of patients in this setting.

Keywords: Pelvic fracture; Resuscitative endovascular balloon occlusion of the aorta; Selective contrast; Unstable hemodynamics.

Publication types

Case Reports