Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Clinical Experiences
TRANSCATHETER ARTERIAL EMBOLIZATION (TAE) FOR PELVIC FRACTURE :
STUDY OF RISK FACTORS FOR COMPLICATIONS
Taku UKAIYoshiyasu UCHIYAMAYuka KOBAYASHISeiji MORITASadaki INOKUCHIJoji MOCHIDA
Author information
JOURNAL FREE ACCESS

2014 Volume 28 Issue 4 Pages 305-310

Details
Abstract
  The purpose of our study was to analyze the risk factors for complications in patients with pelvic fractures undergoing transcatheter arterial embolization (TAE). We enrolled 80 patients with pelvic fracture transferred to our hospital in this study, among whom 52 underwent TAE. TAE of the internal iliac artery was performed unilaterally in 7 patients and bilaterally in 45 patients. Complications were observed in 5 patients : 2 patients developed gluteal muscle necrosis and 3 developed gluteal or genital skin ulcer. The complication rate among all patients undergoing TAE was 9.6% (5/52 patients). The complication rates for unilateral and bilateral internal iliac artery embolization were 0% (0/7 patients) and 11.1% (5/45 patients), respectively. No complications were observed in patients who underwent unilateral embolization. In patients in whom soft tissue evaluation was performed using enhanced CT, subcutaneous hematoma was observed in 4/5 patients (80%) who experienced complications and in 2/2 patients (100%) with necrosis. Our results suggest that attention should be paid to complications in patients who undergo bilateral internal iliac artery embolization, particularly in those with subcutaneous hematoma.
Content from these authors
© 2014 The Japanese Association for the Surgery of Trauma
Previous article Next article
feedback
Top