Abstract：
:Pelvic fractures secondary to blunt trauma are associated with a significant mortality rate due to uncontrolled bleeding. Interventional radiology (IR) can play an important and central role in the management of such patients, offering definitive minimally invasive therapy and avoiding the need for high-risk surgery. Rapid access to whole-body computed tomography has been shown to improve survival in polytrauma patients and allows rapid diagnosis of vascular injury and assessment of suitability for endovascular therapy. IR can then target and treat the specific area of bleeding. Embolisation of bleeding pelvic arteries has been shown to be highly effective and should be the treatment of choice in this situation. The branches of the internal iliac artery (IIA) are usually involved, and these arteries are accessed by way of IIA catheterisation after abdominal aortography. Occasionally these arteries cannot be accessed by way of this conventional route because of recent IIA ligation carried out surgically in an attempt to stop the bleeding or because (in the rare situation we describe here) these vessels are excluded secondary to previous aortoiliac repair. In this situation, knowledge of pelvic arterial collateral artery pathways is important because these will continue to supply pelvic structures whilst making access to deep pelvic branches challenging. We describe a rare case, which has not been previously reported in the literature, in which successful embolisation of a bleeding pelvic artery was carried out by way of the collateral artery pathways.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Abulaban O,Hopkins J,Willis AP,Jones RGdoi
10.1007/s00270-010-9831-0subject
Has Abstractpub_date
2011-02-01 00:00:00pages
S102-5eissn
0174-1551issn
1432-086Xjournal_volume
34 Suppl 2pub_type
杂志文章abstract：:This article provides an overview of the evolution of revascularization devices since Grüntzig's initial introduction of balloon angioplasty in 1977. In-stent restenosis (ISR) is the major shortcoming of conventional (permanent-implant) stent therapy; even with the innovation and promising benefits of drug-eluting ste...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章,评审
doi：10.1007/s00270-004-0341-9
更新日期：2006-01-01 00:00:00
abstract：:Although current techniques for percutaneous biliary stone extraction are highly successful, many patients require manipulation of the calculi before such extraction is possible. This article describes several adjunctive techniques for biliary stone retrieval that have proven to be effective. These include the modific...
journal_title：Cardiovascular and interventional radiology
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
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abstract：PURPOSE:To evaluate the effects of neoadjuvant intra-arterial chemotherapy (NAIC) for locally advanced uterine cervical cancer, and to analyze factors influencing the response to the chemotherapy. METHODS:Thirty-four patients with invasive cervical cancer more than 4 cm in diameter were enrolled in this study. NAIC wa...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-003-0506-y
更新日期：2003-05-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s002700010110
更新日期：2000-11-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
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更新日期：2011-12-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-016-1559-z
更新日期：2017-05-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-007-9118-2
更新日期：2007-09-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00270-007-9173-8
更新日期：2008-03-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s002709910028
更新日期：2000-03-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-016-1336-z
更新日期：2016-08-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章,评审
doi：10.1007/s00270-010-9967-y
更新日期：2011-08-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-011-0267-y
更新日期：2012-02-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-018-2058-1
更新日期：2018-11-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF00571541
更新日期：1994-07-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-017-1869-9
更新日期：2018-04-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-018-2010-4
更新日期：2018-11-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
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更新日期：2013-08-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-013-0598-y
更新日期：2013-08-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章,评审
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
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更新日期：2018-09-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF00204141
更新日期：1995-05-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
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更新日期：2016-02-01 00:00:00
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journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02743540
更新日期：1997-07-01 00:00:00
abstract：:Intraarterial administration of chemotherapeutic agents provides greater local concentration at the tumor site without increased systemic toxicity. Although intravenous infusion of cisplatin is known to cause peripheral neuropathy and intraarterial administration has been reported to cause lumbosacral plexopathy, brac...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02577128
更新日期：1989-01-01 00:00:00
abstract：PURPOSE:It has been hypothesized that microstents which are used to prevent coil protrusion in the treatment of cerebral aneurysms may have flow diverting and therefore occlusive effects. In a rabbit elastase aneurysm model, we investigated the aneurysm occlusion rate and vessel reaction of a braided Accero stent proto...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/s00270-019-02345-z
更新日期：2019-12-01 00:00:00
abstract：PURPOSE:To describe the technique and feasibility of renal artery angioplasty and stenting from the radial artery. METHODS:A series of 19 patients were evaluated for transradial renal artery intervention. Procedures were performed using carbon dioxide gas (CO2) as the preferred angiographic contrast agent. Interventio...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
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更新日期：2003-03-01 00:00:00
abstract：PURPOSE:To assess the diagnostic accuracy of contrast-enhanced computed tomography (CT) for central pulmonary artery pathology in patients with cyanotic congenital heart disease (CCHD) and right ventricular outflow obstruction. METHODS:We compared contrast-enhanced CT and cine pulmonary arteriography in 24 patients in...
journal_title：Cardiovascular and interventional radiology
pub_type： 临床试验,杂志文章
doi：10.1007/BF02563901
更新日期：1996-03-01 00:00:00
abstract：PURPOSE:Two stent types (a new Wallstent and a Z-stent) were investigated in 30 patients with recurrent malignant superior vena caval syndrome (SVCS). METHODS:Eligibility requirements were that the patient had recurrent symptoms after appropriate radiation therapy, chemotherapy, or both; >/= 75% of the vessel was occl...
journal_title：Cardiovascular and interventional radiology
pub_type： 杂志文章
doi：10.1007/BF02577610
更新日期：1996-05-01 00:00:00
