SELECTIVE EMBOLIZATION OF ARTERIAL BLEEDING IN INJURIES OF THE ACETABULUM – A CASE REPORT
Authors:
Jakub Avenarius 1; Filip Cihlář 2; Petr Obruba 1; Karel Edelmann 1
Authors‘ workplace:
Klinika úrazové chirurgie UJEP, Úrazové centrum, Krajská zdravotní, a. s., Masarykova nemocnice v Ústí nad Labem, o. z.
UJEP The Department of Trauma Surgery, Trauma Center, Regional Health, Inc., Masaryk Hospital in Usti nad Labem
1; Radiodiagnostické oddělení, Krajská zdravotní, a. s., Masarykova nemocnice v Ústí nad Labem, o. z.
Department of Radiology, Regional Health, Inc., Masaryk Hospital in Usti nad Labem
2
Published in:
Úraz chir. 24., 2016, č.2
Overview
Introduction:
The authors report a case of a 65-year old man who suffered right acetabular fracture with bleeding from a superior gluteal artery branch after fall from bicycle. Bleeding was diagnosed with CT-angiography done because of circulatory instability. Selective embolization was used to stop bleeding because of complicated surgical access to the bleeding artery. Embolization is the method of choice to stop bleeding from the superior gluteal artery since it is minimally invasive with high success rate.
Conclusion:
Unlike fractures of the sacrum, dangerous bleeding is relatively rarely associated with fractures oft he acetabulum, yet we still need to keep it in mind if hemodynamic instability of the patient is present.
Key words:
Acetabular fracture, angiography, selective embolization.
Sources
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2. IERARDI, AM., PIACENTINO, F., FONTANA, F. et al. The role of endovascular treatment of pelvic fracture bleeding in emergency settings. Eur Radiol. 2015, 25, 1854–1864.
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Labels
Surgery Traumatology Trauma surgeryArticle was published in
Trauma Surgery
2016 Issue 2
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