经动脉栓塞术（TAE）治疗出血性骨盆损伤：一家大型创伤中心的治疗与中期结果回顾
Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre.
作者信息
Awwad Amir, Dhillon Permesh Singh, Ramjas Greg, Habib Said B, Al-Obaydi Waleed
机构信息
2NIHR Nottingham Biomedical Research Centre, Sir Peter Mansfield Imaging Centre, School of Medicine, University of Nottingham, Nottingham, NG72UH UK.
3Radiology Department, Royal Papworth Hospital NHS Foundation Trust, Cambridge, CB23 3RE UK.
出版信息
CVIR Endovasc. 2018;1(1):32. doi: 10.1186/s42155-018-0031-3. Epub 2018 Nov 24.
BACKGROUND
Management of pelvic fracture associated haemorrhage is often complex with high morbidity and mortality rates. Different treatment options are used to control bleeding with an on-going discussion in the trauma community regarding the best management algorithm.
MAIN BODY
Recent studies have shown trans-arterial embolisation (TAE) to be a safe and effective technique to control pelvic fracture associated haemorrhage. Computed tomography (CT) evidence of active bleeding, haemodynamic instability, and pelvic fracture patterns are amongst important indicators for TAE.
CONCLUSION
Herein, we aim to provide a comprehensive literature review of the effectiveness of TAE in controlling haemorrhage secondary to pelvic fracture according to the indications, technique and embolic agents, and outcomes, whilst incorporating our Level 1 major trauma centre's (MTC) results between 2014-2017.
背景
骨盆骨折相关出血的处理通常较为复杂，发病率和死亡率都很高。目前使用了不同的治疗方法来控制出血，创伤学界也一直在讨论最佳的治疗方案。
主体
最近的研究表明，经动脉栓塞术（TAE）是控制骨盆骨折相关出血的一种安全有效的技术。计算机断层扫描（CT）显示的活动性出血、血流动力学不稳定和骨盆骨折类型是TAE的重要指标。
结论
在此，我们旨在根据适应证、技术、栓塞剂和治疗结果，对TAE控制骨盆骨折继发性出血的有效性进行全面的文献综述，同时纳入我们一级主要创伤中心（MTC）2014年至2017年的治疗结果。
Zotero 插件