Clinical Study
Clinical Outcome of Intra-Arterial Embolization for Treatment of Patients with Pelvic Trauma
| | Indication for intervention | Localisation of bleeding | Material of embolization | Duration of embolization (min) |
| 1 | L kidney lesion + pelvic fracture with blush | inferior rectal artery + L renal artery | Coils | 60 | 2 | Decrease in Hb + blush | branches pudendal artery + EIA | Contour particles | 60 | 3 | Remaining blood loss | branches pudendal artery L + R | Coils | 166 | 4 | Active bleeding with blush | IIA + branches R hepatic | Gelfoam | 61 | 5 | Decrease in Hb | superior gluteal artery + iliolumbar artery | Gelfoam | 14 | 6 | Decrease in Hb | branch gluteal artery | Gelfoam | 41 | 7 | Decrease in Hb | branch IIA L + proximal IIA R | Coils | 77 | 8 | Decrease in Hb | pudendal artery L + R | Coils | 82 | 9 | Blush | branches IIA L | Coils | 44 | 10 | Hemodynamic instability | branches IIA R + branch IIA L | Coils + Histoacryl | 220 | 11 | Blush | branch IIA R | Gelfoam + coils | 39 | 12 | Blush | branch IIA R | Histoacryl | 44 | 13 | Active bleeding with blush | branch EIA L + gastric artery L | Gelfoam + coils | 96 | 14 | Gained hemodynamic instability + blush | branch IIA L (proximal + distal) | Coils | 58 | 15 | Gained hemodynamic instability | IIA L + R | Gelfoam + coils | 26 | 16 | Hemodynamic instable (no surgery possible) + blush | IIA L | Coils | 90 | 17 | Remaining blood loss | branches IIA L | Coils | 106 | 18 | Remaining hemodynamic instable + blush | branches IIA L + IIA R | Gelfoam + coils | 71 | 19 | Decrease in Hb | IIA L + pudendal artery R | Coils | 43 |
|
|
IIA: Internal Iliac Artery; EIA: External Iliac Artery; L: left; R: right.
|