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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
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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
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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 .
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