0
Case Reports   |    
Stent Graft Treatment of an External Iliac Artery Injury Associated with Pelvic Fracture A Case Report
Zsolt Balogh, MD; Erika Vörös, MD, PhD; Gábor Süveges, MD; J. Aurél Simonka, MD, PhD
View Disclosures and Other Information
Investigation performed at the Albert Szent-Györgyi Medical and Pharmaceutical Center, University of Szeged, Szeged, Hungary

Zsolt Balogh, MD
Erika Vörös, MD, PhD
Gábor Süveges, MD
J. Aurél Simonka, MD, PhD
Departments of Traumatology (Z.B., G.S., and J.A.S.) and Radiology (E.V.), Albert Szent-Györgyi Medical and Pharmaceutical Center, University of Szeged, Semmelweis u. 6, Szeged H-6725, Hungary. E-mail address for Z. Balogh: balogh@trauma.szote.u-szeged.hu

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2003 May 01;85(5):919-922
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

The management of life-threatening hemorrhage after blunt pelvic trauma is a multidisciplinary challenge 1,2 . Although the cancellous bone and venous plexuses are the most frequent sources of bleeding with pelvic fractures, arterial bleeding is the primary cause of life-threatening hemorrhagic shock in patients with pelvic trauma 2,3 . The most common source of arterial bleeding is the internal iliac artery, and injury to this artery is usually managed with angiographic embolization 3-5 . Injury to the external iliac artery, especially with active bleeding, is far less frequent 6,7 and should be managed with reconstructive techniques to avoid lower-extremity ischemia. Gaining surgical access to the external iliac artery in a patient with multiple injuries and a retroperitoneal hematoma is difficult and hazardous. Percutaneously inserted endovascular stents are increasingly being used to treat vascular injuries 8-10 .
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    01/22/2014
    Pennsylvania - Penn State Milton S. Hershey Medical Center
    11/15/2013
    Louisiana - Ochsner Health System
    03/19/2014
    Virginia - VIRGINIA COMMONWEALTH UNIVERSITY MEDICAL CENTER