Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Original Article
EARLY INDICATION CRITERIA OF TAE FOR PELVIC FRACTURES
Hiroaki IWASEFumiaki IWASEJunichi INOUEYoshibumi MIYAZAKIGaku MATSUMOTOYosuke KAWANOMasatugu SASAMOTOMasahiko YANAGISAWAKazuki HAGIWARA
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2020 Volume 34 Issue 3 Pages 35-39

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Abstract

  We retrospectively examined pelvic fracture patients who were transported to our emergency medical center between January 2016 and December 2018. One hundred and twenty-four patients with pelvic fractures, stable vital signs and no contrast extravasation on enhanced CT were enrolled. The TAE group included 11 patients and the non-TAE group included 113 patients. There were significant differences between the two groups in ISS (p<0.001) and D-dimer level (p=0.034). Based on multivariate analysis, ISS significantly increases the risk. In patients with pelvic fractures associated with severe trauma (ISS> 24), angiography should be considered even if the vital signs are stable and no contrast extravasation is observed on contrast-enhanced CT.

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© 2020 The Japanese Association for the Surgery of Trauma
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