Trans-arterial and trans-venous interventional radiology for an elderly patient with life-threatening pelvic injury after accidental falling due to life-threatening cardiac arrhythmia: a case report

INTRODUCTION: A 79-year man, admitted to our emergency department after accidental falling with syncope, had pelvic fractures and complete atrioventricular (AV) block. CASE PRESENTATION: He received transvenous pacer placement for complete AV block and required hemodynamic stability. His heart rate was successfully controlled. However, secondary deterioration of his hemodynamics concerning of pelvic fractures was occurred and immediate trancatheter arterial embolization was performed. Final angiography showed no findings of bleeding and he was discharged intensive care unit in good condition. CONCLUSION: Combined transarterial and transvenous interventional radiology is an effective and safety resuscitation technique for an elderly with secondary life-threatening injury after accidental falling due to life-threatening cardiac arrhythmia.