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CardioVascular and Interventional Radiology

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Open Access 01-01-2019 | Review

Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article

Authors: Diederik J. Wijffels, Diederik O. Verbeek, Kornelis J. Ponsen, J. Carel Goslings, Otto M. van Delden

Published in: CardioVascular and Interventional Radiology | Issue 1/2019

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.

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Title: Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article
Authors: Diederik J. Wijffels
Diederik O. Verbeek
Kornelis J. Ponsen
J. Carel Goslings
Otto M. van Delden
Publication date: 01-01-2019
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 1/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-018-2071-4

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Imaging and Endovascular Treatment of Bleeding Pelvic Fractures: Review Article

Abstract

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