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KMID : 0616620050110010059
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Journal of Soonchunhyang Medical College
2005 Volume.11 No. 1 p.59 ~ p.63
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The Usefullness of Transcatheter Arterial Embolization of Arterial Bleeding in Patients with Pelvic Bone Fracture
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Yang Seung-Boo
Im Han-Hyeok
Choi Gyo-Chang
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Abstract
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Purpose : To determine the usefullness of transcatheter embolization of arterial bleeding in patients with pelvic bone fracture.
Materials and Methods : Between March 2003 and December 2004, we evaluated 13 injuried arteries of eight patients with pelvic bone fracture, All patients underwent angiography, followed by transcatheter arterial embolization using gelfoam. We investigated the vital sign, survival rate and complication of transcatheter arterial embolization.
Results : Angiography revealed extravasation of cantrast media in six patients; extravasation and abrupt cut-off of an artery in two. The injured arteries involved(n=13) were internal pudendal(n=4), obturator(n=3), inferior gluteal(n=3), iliolumbar(n=2) and superior gluteal artery(n=1). Transcather arterial embolization was technically successful and there was no complication in all cases. Old age patients(n=2, >60years) died due to hypovolemia and pulmonary complication.
Conclusion : Transcatheter arterial embolization of arterial bleeding is a useful procedure in lowering the mortality and complication in pelvic bone fracture.
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KEYWORD
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Fracture, Artery, Embolization
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