Intraoperative Hypogastric Artery Embolization for Life-Threatening Pelvic Hemorrhage: A Preliminary Report

Percutaneous pelvic embolization has become a useful adjunct in the management of life-threatening hemorrhage from pelvic trauma. However, this approach may be preempted by the need for emergency laparotomy. The surgeon is then confronted with a hemodynamically unstable patient with an expanding hem...

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Veröffentlicht in:The Journal of trauma 1987-10, Vol.27 (10), p.1127-1129
Hauptverfasser: SAUERACKER, ANDREW J., MCCROSKEY, BRIAN L., MOORE, ERNEST E., MOORE, FREDERICK A.
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container_end_page 1129
container_issue 10
container_start_page 1127
container_title The Journal of trauma
container_volume 27
creator SAUERACKER, ANDREW J.
MCCROSKEY, BRIAN L.
MOORE, ERNEST E.
MOORE, FREDERICK A.
description Percutaneous pelvic embolization has become a useful adjunct in the management of life-threatening hemorrhage from pelvic trauma. However, this approach may be preempted by the need for emergency laparotomy. The surgeon is then confronted with a hemodynamically unstable patient with an expanding hematoma in the face of other life-threatening injuries. Bilateral hypogastric artery ligation has failed in this scenario due to extensive collateralization of the pelvic circulation. We present our experience with intraoperative hypogastric artery embolization used in the management of four patients, and review the available literature on the subject.
doi_str_mv 10.1097/00005373-198710000-00006
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However, this approach may be preempted by the need for emergency laparotomy. The surgeon is then confronted with a hemodynamically unstable patient with an expanding hematoma in the face of other life-threatening injuries. Bilateral hypogastric artery ligation has failed in this scenario due to extensive collateralization of the pelvic circulation. 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subjects Biological and medical sciences
Embolization, Therapeutic
Fractures, Bone - complications
Hemorrhage - etiology
Hemorrhage - therapy
Humans
Iliac Artery
Injuries of the limb. Injuries of the spine
Intraoperative Care
Medical sciences
Pelvic Bones - injuries
Pelvis - injuries
Traumas. Diseases due to physical agents
Wounds, Stab - complications
title Intraoperative Hypogastric Artery Embolization for Life-Threatening Pelvic Hemorrhage: A Preliminary Report
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