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Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study
OBJECTIVE: Transcatheter arterial embolization (TAE) of bilateral internal iliac arteries (IIAs) in patients with a hemodynamically unstable pelvic fracture is associated with a low mortality rate. The persistence of unstable hemodynamics after IIA embolization indicates the involvement of other art...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664313/ https://www.ncbi.nlm.nih.gov/pubmed/34878941 http://dx.doi.org/10.1177/03000605211063315 |
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author | Maruhashi, Takaaki Kurihara, Yutaro Oi, Marina Kashimi, Fumie Tamura, Satoshi Kim, Muneyoshi Asari, Yasushi |
author_facet | Maruhashi, Takaaki Kurihara, Yutaro Oi, Marina Kashimi, Fumie Tamura, Satoshi Kim, Muneyoshi Asari, Yasushi |
author_sort | Maruhashi, Takaaki |
collection | PubMed |
description | OBJECTIVE: Transcatheter arterial embolization (TAE) of bilateral internal iliac arteries (IIAs) in patients with a hemodynamically unstable pelvic fracture is associated with a low mortality rate. The persistence of unstable hemodynamics after IIA embolization indicates the involvement of other arteries, such as the median sacral artery (MSA). This study aimed to evaluate the efficacy of MSA embolization. METHODS: In this single-center, retrospective, observational study, medical records of patients who underwent MSA angiography or embolization for pelvic fractures (n = 21) between January 2007 and August 2019 were reviewed. The percentage of patients achieving hemodynamic stabilization by MSA embolization was calculated. RESULTS: Fifteen patients underwent MSA embolization, and the remaining six underwent MSA angiography. The shock index value was significantly higher after MSA embolization than that before MSA embolization in hemodynamically unstable patients who underwent this procedure. The success rate of MSA selection was 100%. One patient presented with urinary retention because of bladder and rectal disorders after MSA embolization. The 30-day survival rate was 85.7%. CONCLUSIONS: Severe pelvic fractures, such as a Dennis Zone III fracture and suicidal jumper’s fracture due to trauma from a fall, may require MSA embolization. |
format | Online Article Text |
id | pubmed-8664313 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-86643132021-12-11 Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study Maruhashi, Takaaki Kurihara, Yutaro Oi, Marina Kashimi, Fumie Tamura, Satoshi Kim, Muneyoshi Asari, Yasushi J Int Med Res Retrospective Clinical Research Report OBJECTIVE: Transcatheter arterial embolization (TAE) of bilateral internal iliac arteries (IIAs) in patients with a hemodynamically unstable pelvic fracture is associated with a low mortality rate. The persistence of unstable hemodynamics after IIA embolization indicates the involvement of other arteries, such as the median sacral artery (MSA). This study aimed to evaluate the efficacy of MSA embolization. METHODS: In this single-center, retrospective, observational study, medical records of patients who underwent MSA angiography or embolization for pelvic fractures (n = 21) between January 2007 and August 2019 were reviewed. The percentage of patients achieving hemodynamic stabilization by MSA embolization was calculated. RESULTS: Fifteen patients underwent MSA embolization, and the remaining six underwent MSA angiography. The shock index value was significantly higher after MSA embolization than that before MSA embolization in hemodynamically unstable patients who underwent this procedure. The success rate of MSA selection was 100%. One patient presented with urinary retention because of bladder and rectal disorders after MSA embolization. The 30-day survival rate was 85.7%. CONCLUSIONS: Severe pelvic fractures, such as a Dennis Zone III fracture and suicidal jumper’s fracture due to trauma from a fall, may require MSA embolization. SAGE Publications 2021-12-08 /pmc/articles/PMC8664313/ /pubmed/34878941 http://dx.doi.org/10.1177/03000605211063315 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Retrospective Clinical Research Report Maruhashi, Takaaki Kurihara, Yutaro Oi, Marina Kashimi, Fumie Tamura, Satoshi Kim, Muneyoshi Asari, Yasushi Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title | Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title_full | Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title_fullStr | Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title_full_unstemmed | Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title_short | Efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
title_sort | efficacy of median sacral artery embolization for treating severe pelvic fractures: a retrospective study |
topic | Retrospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8664313/ https://www.ncbi.nlm.nih.gov/pubmed/34878941 http://dx.doi.org/10.1177/03000605211063315 |
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