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Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre

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 h...

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Autores principales: Awwad, Amir, Dhillon, Permesh Singh, Ramjas, Greg, Habib, Said B., Al-Obaydi, Waleed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319536/
https://www.ncbi.nlm.nih.gov/pubmed/30652163
http://dx.doi.org/10.1186/s42155-018-0031-3
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author Awwad, Amir
Dhillon, Permesh Singh
Ramjas, Greg
Habib, Said B.
Al-Obaydi, Waleed
author_facet Awwad, Amir
Dhillon, Permesh Singh
Ramjas, Greg
Habib, Said B.
Al-Obaydi, Waleed
author_sort Awwad, Amir
collection PubMed
description 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s42155-018-0031-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-63195362019-01-14 Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre Awwad, Amir Dhillon, Permesh Singh Ramjas, Greg Habib, Said B. Al-Obaydi, Waleed CVIR Endovasc Review Article 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. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s42155-018-0031-3) contains supplementary material, which is available to authorized users. Springer International Publishing 2018-11-24 /pmc/articles/PMC6319536/ /pubmed/30652163 http://dx.doi.org/10.1186/s42155-018-0031-3 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
Awwad, Amir
Dhillon, Permesh Singh
Ramjas, Greg
Habib, Said B.
Al-Obaydi, Waleed
Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title_full Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title_fullStr Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title_full_unstemmed Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title_short Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
title_sort trans-arterial embolisation (tae) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319536/
https://www.ncbi.nlm.nih.gov/pubmed/30652163
http://dx.doi.org/10.1186/s42155-018-0031-3
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