[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.161.249.135. Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
December 1983

Diagnosis and Control of Posttraumatic Pelvic HemorrhageTranscatheter Angiographic Embolization Techniques

Author Affiliations

From the Departments of Surgery (Dr Yellin) and Radiology (Drs Lundell and Finck), Los Angeles County—University of Southern California Medical Center, and the University of Southern California School of Medicine (Drs Yellin, Lundell, and Finck), Los Angeles.

Arch Surg. 1983;118(12):1378-1383. doi:10.1001/archsurg.1983.01390120008004
Abstract

• Fourteen patients with posttraumatic pelvic hemorrhage underwent therapeutic transcatheter embolization of bleeding vessels. Six of them were victims of blunt trauma, six had penetrating trauma, and two had iatrogenic hemorrhage. Eleven patients had a celiotomy prior to angiographic embolization, and large retroperitoneal hematomas were evident in nine patients. Bleeding persisted postoperatively. It was initially controlled by embolization in all patients, but two rebled and were successfully reembolized. Two patients died because of traumatic injuries. There were no complications directly associated with the embolization procedures. Transcatheter embolization is a safe, effective method for controlling pelvic hemorrhage in patients with unstable or multiple pelvic fractures whose conditions fail to respond to more conventional forms of therapy.

(Arch Surg 1983;118:1378-1383)

References
1.
Rothenberger DA, Fischer RP, Perry JF Jr:  Major vascular injuries secondary to pelvic fractures: An unsolved clinical problem . Am J Surg 1978;136:660-662.Article
2.
Rothenberger D, Velasco R, Strate R, et al:  Open pelvic fracture: A lethal injury . J Trauma 1978;18:184-187.Article
3.
Flint LM Jr, Brown A, Richardson D, et al:  Definitive control of bleeding from severe pelvic fractures . Ann Surg 1979;189:709-716.Article
4.
Keller FS, Rosch J, Baur GM, et al:  Percutaneous angiographic embolization: A procedure of increasing usefulness . Am J Surg 1981;142:5-13.Article
5.
Ricketts RR, Finck E, Yellin AE:  Management of major arteriovenous fistula by arteriographic techniques . Arch Surg 1978;113:1153-1159.Article
6.
McNeese S, Finck E, Yellin AE:  Definitive treatment of selected vascular injuries and post traumatic arteriovenous fistulas by arteriographic embolization . Am J Surg 1980;140:252-259.Article
7.
Brotman S, Soderstrom CA, Oster-Granite M, et al:  Management of severe bleeding in fractures of the pelvis . Surg Gynecol Obstet 1981;153: 823-826.
8.
Patterson FB, Morton KS:  The cause of death in fractures of the pelvis: With a note on treatment by ligation of the hypogastric (internal iliac) artery . J Trauma 1973;13:849-856.Article
9.
Ravitch MM:  Hypogastric artery ligation in acute pelvic trauma . Surgery 1964;56:601-602.
10.
Hare WS, Holland CJ:  Paresis following internal iliac artery embolization . Radiology 1983;146:47-51.Article
11.
Schrumpf JD, Sommer G, Jacobs RP:  Bleeding simulated by the distal internal pudendal artery stain . AJR 1978;131:657-659.Article
12.
Matalon TS, Athanasoulis CA, Margolies MN, et al:  Hemorrhage with pelvic fractures: Efficacy of transcatheter embolization . AJR 1979; 133:859-864.Article
13.
Jander HP, Russinovich NA:  Transcatheter Gelfoam embolization in abdominal retroperitoneal and pelvic hemorrhage . Radiology 1980;136:337-344.Article
14.
Lang EK:  Transcatheter embolization of pelvic vessels for control of intractable hemorrhage . Radiology 1981;140:331-339.Article
15.
Ring EJ, Athanasoulis CA, Waltman AC, et al:  Arteriographic management of hemorrhage following pelvic fracture . Radiology 1973;109: 65-70.Article
×