Transcatheter Internal iliac Arterial Embolization for Massive Hemorrhage in Pelvic Fracture

Objective:To discuss the clinical value of transcatheter arterial embolization for urgent treatment of severe hemorrhage caused by pelvic fracture.Methods:23 cases with severe hemorrhage due to pelvic fracture who had been in failure of conservative therapy,accepted single or bilateral iliac arterial angiography and emboliazation promptly after trauma.The internal iliac arteries and other target arteries were embolized with gelfoam or steel coils.Results:The bleeding was stopped in all 23 patients after operation,shock symptoms disappeared and blood pressure was elevated and returned to normal,no one was dead.Conclusion:Transcatheter internal iliac artery embolization is a simple,less invasive,safe and effective therapy for pelvic massive hemorrhage and should be taken as the first choice.