Stent Graft Treatment of an External Iliac Artery Injury Associated With Pelvic Fracture

Balogh, Zsolt J.; Vörös, Erika; Süveges, Gábor; Simonka, János Aurél

doi:10.2106/00004623-200305000-00025

Cited by 11 publications

(3 citation statements)

References 10 publications

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“…When injury of the external iliac artery and its branches is confirmed, TAE, endovascular blunting repair, open vascular reconstruction, and prosthetic bypass graft should be selectively performed. 27 , 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of rare complications of pelvic fractures

Zong

Bao

Liu

et al. 2016

Chinese Journal of Traumatology

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PurposeTo enhance the awareness of rare complications of pelvic fracture and describe the correct diagnosis and effective treatment.MethodsA total of 188 cases of pelvic fractures were retrospectively reviewed, and four patients who suffered from four types of rare pelvic fracture complications were described, namely ureteral obstruction caused by retroperitoneal hematoma-induced abdominal compartment syndrome (ACS), bowel entrapment, external iliac artery injury, and open scrotal sac injury.ResultsWe demonstrated that combined measures should be employed to prevent the occurrence of ACS following major pelvic fractures. Ureteral catheter support may be a good option at an early stage when ACS occurred. Contrasted computed tomography examination and sufficient awareness are keys to a correct diagnosis of bowel entrapment following pelvic fractures. Recognition of risk factors, early diagnosis, and prompt treatment of suspected injury of the external iliac artery are keys to patient survival and to avoid limb loss. Scrotal and/or testicular injury complicated by pelvic fractures should be carefully treated to maintain normal gonad function. Additionally, establishment of a sophisticated trauma care system and multi-disciplinary coordination are important for correct diagnosis and treatment of rare complications in pelvic fractures.ConclusionsRare complications of pelvic fractures are difficult to diagnose and negatively impact outcome. Recognition of risk factors and sufficient awareness are essential for correct diagnosis and prompt treatment.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of rare complications of pelvic fractures

Zong

Bao

Liu

et al. 2016

Chinese Journal of Traumatology

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“…Thus, endovascular treatment is a trustworthy alternative in cases of further graft infection and in cases with false aneurysm, arteriovenous fistulae, major intimal tears, and vessel’s thrombosis ( 135 ). Moreover, it was also proposed by some experts as the first-line therapeutic option due to the low complication rate in cases of chronic traumatic injuries of the CIA or external iliac artery ( 7 , 136 ).…”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Contemporary Strategies in the Management of Civilian Abdominal Vascular Trauma

et al. 2018

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The evaluation and management of patients with abdominal vascular trauma or injury requires immediate and effective decision-making in these unfavorable circumstances. The majority of these patients arrive at trauma centers in profound shock, secondary to massive blood loss, which is often unrelenting. Moreover, ischemia, compartment syndrome, thrombosis, and embolization may also be life threatening and require immediate intervention. To minimize the risk of these potentially lethal complications, early understanding of the disease process and emergent therapeutic intervention are necessary. In the literature, the management of acute traumatic vascular injuries is restricted to traditional open surgical techniques. However, in penetrating injuries surgeons often face a potentially contaminated field, which renders the placement of prosthetic grafts inappropriate. Currently, however, there are sparse data on the management of vascular trauma with endovascular techniques. The role of endovascular technique in penetrating abdominal vascular trauma, which is almost always associated with severe active bleeding, is limited. It is worth mentioning that hybrid operating rooms with angiographic radiology capabilities offer more opportunities for the management of this kind of injuries by either temporary control of the devastating bleeding using endovascular balloon tamponade or with embolization and stenting. On the other hand, blunt abdominal injuries are less dangerous and they could be treated at most times by endovascular means. Since surgeons continue to encounter abdominal vascular trauma, open and endovascular techniques will evolve constantly giving us encouraging messages for the near future.

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“…Finally, the system should be frequently flushed with normal saline between attempts to prevent clumping of Gelfoam and subsequent catheter occlusion. 34 An important procedure-specific complication of pelvic embolization is nontarget embolization. However, this is rare if embolic materials are chosen correctly and sized appropriately.…”

Section: Scenarios Requiring Fast Controlmentioning

confidence: 99%

Interventional Radiology in Pelvic Trauma

Franco

Zangan

2020

Semin intervent Radiol

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Traumatic pelvic injuries are associated with high injury severity scores and significant morbidity and mortality. As fractures and ligamentous disruption result in increased pelvic volume, retroperitoneal hemorrhage can spiral and progress to hemorrhagic shock. Due to the extensive collateral supply and limitations of surgery for pelvic hematomas, angiographic treatment is at the forefront of pelvic trauma management. This article will discuss typical injuries seen in pelvic trauma, treatment modalities available to the interventional radiologist, and common angiographic treatment strategies and techniques.

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Stent Graft Treatment of an External Iliac Artery Injury Associated With Pelvic Fracture

Cited by 11 publications

References 10 publications

Diagnosis and treatment of rare complications of pelvic fractures

Diagnosis and treatment of rare complications of pelvic fractures

Contemporary Strategies in the Management of Civilian Abdominal Vascular Trauma

Interventional Radiology in Pelvic Trauma

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