Pelvic Fractures in Patients Treated by TAE at a Single Hospital

Abstract

Transcatheter arterial embolization (TAE) was performed in 12 patients with pelvic fractures and pelvic extravasations (CT-extra) evident by enhanced CT. Three of the patients were men and 9 were women, with an average age of 56.9 years. The injury severity score ranged between 25 and 51 points. The following 3 points were evaluated : 1. TAE loading completion time from the start of treatment, 2. Arteries embolized, 3. Systolic blood pressure before and after TAE, 4. Complications of TAE. The average period required for TAE was 183 min. The mean systolic blood pressure prior to and after TAE was 76 mmHg and 117 mmHg, respectively.
As complications, kidney failure and ED occurred in one patient. Although TAE was effective for achieving acute hemodynamic stability, there have been many previous reports of TAE-specific complications. Therefore TAE for pelvic fractures should be performed with meticulous care.