J Korean Hip Soc.  2008 Jun;20(2):117-123. 10.5371/jkhs.2008.20.2.117.

Effectiveness of Arterial Embolization in Hemodynamically Unstable Pelvic Fracture

• Yoon HK
• Kim MD
• Han SH
• Kim BK
• Ahn TK

• KMID: 2162640
• DOI: http://doi.org/10.5371/jkhs.2008.20.2.117

Abstract

Purpose
To assess the effectiveness and appropriate time for arterial embolization with angiography in patients who sustained a hemodynamically unstable pelvic bone fracture
Materials and methods
Nineteen cases with hemodynamically unstable pelvic bone fractures that were managed with arterial embolization out of 287 pelvic bone fractures between May, 2002 and February, 2007 were reviewed retrospectively. The blood pressure, pulse rate, hemoglobin, prothrombin time, partial prothrombin time and platelet checked were evaluated immediately after arrival at the emergency room, before and after embolization. Repeated measures analysis of variance was used for the statistical evaluation.
Results
The blood pressure showed a statistically significant increase from before and after embolization. The hemoglobin and prothrombin time checked upon arrival were significantly lower than those checked before embolization. In addition, the hemoglobin and prothrombin time was significantly higher before embolization than after embolization. The partial thromboplastin time and platelet checked immediately upon arrival were significantly lower than those checked before embolization.
Conclusion
Interventional angiography and embolization can be an effective treatment modality in patients with hemodynamically unstable pelvic bone fractures showing rapid changes in the hemoglobin level, prothrombin time, partial thromboplastin time and platelet count but little response to fluid and transfusion resuscitation,.

Keyword

Pelvic bone fracture; Arteraial embolization; Blood pressure; Hemoglobin; Prothrombin time; Partial thromboplastin time; Platelet

MeSH Terms

Angiography
Blood Platelets
Blood Pressure
Emergencies
Heart Rate
Hemoglobins
Humans
Partial Thromboplastin Time
Pelvic Bones
Platelet Count
Prothrombin Time
Resuscitation
Retrospective Studies
Hemoglobins