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 |
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container_title | The Journal of trauma |
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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. We present our experience with intraoperative hypogastric artery embolization used in the management of four patients, and review the available literature on the subject.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-198710000-00006</identifier><identifier>PMID: 3669108</identifier><identifier>CODEN: JOTRA5</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>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</subject><ispartof>The Journal of trauma, 1987-10, Vol.27 (10), p.1127-1129</ispartof><rights>Williams & Wilkins 1987. 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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. We present our experience with intraoperative hypogastric artery embolization used in the management of four patients, and review the available literature on the subject.</description><subject>Biological and medical sciences</subject><subject>Embolization, Therapeutic</subject><subject>Fractures, Bone - complications</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - therapy</subject><subject>Humans</subject><subject>Iliac Artery</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Intraoperative Care</subject><subject>Medical sciences</subject><subject>Pelvic Bones - injuries</subject><subject>Pelvis - injuries</subject><subject>Traumas. 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Injuries of the spine</topic><topic>Intraoperative Care</topic><topic>Medical sciences</topic><topic>Pelvic Bones - injuries</topic><topic>Pelvis - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Stab - complications</topic><toplevel>online_resources</toplevel><creatorcontrib>SAUERACKER, ANDREW J.</creatorcontrib><creatorcontrib>MCCROSKEY, BRIAN L.</creatorcontrib><creatorcontrib>MOORE, ERNEST E.</creatorcontrib><creatorcontrib>MOORE, FREDERICK A.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SAUERACKER, ANDREW J.</au><au>MCCROSKEY, BRIAN L.</au><au>MOORE, ERNEST E.</au><au>MOORE, FREDERICK A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Hypogastric Artery Embolization for Life-Threatening Pelvic Hemorrhage: A Preliminary Report</atitle><jtitle>The Journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>1987-10</date><risdate>1987</risdate><volume>27</volume><issue>10</issue><spage>1127</spage><epage>1129</epage><pages>1127-1129</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><coden>JOTRA5</coden><abstract>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.</abstract><cop>Baltimore, MD</cop><pub>Williams & Wilkins</pub><pmid>3669108</pmid><doi>10.1097/00005373-198710000-00006</doi><tpages>3</tpages></addata></record> |
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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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