Highlights
- •BIIAE, combined with other interventions, was associated with 90% clinical effectiveness.
- •No complications related to BIIAE were reported in our cohort.
- •BIIAE should be considered for life-threatening pelvic bleeding.
Abstract
Introduction
Bilateral internal iliac artery embolization (BIIAE) with temporary embolic materials
epitomizes damage-control principles in the treatment of exsanguinating hemorrhage
from pelvic trauma. However, instances of ischemic complications have been reported.
The aim of our study was to assess safety and effectiveness of BIIAE.
Methods
All patients who received BIIAE for pelvic trauma at a Level I Trauma Center between
1998 and 2018 were reviewed. Effectiveness was assessed by radiographic bleeding control
and clinical bleeding control, i.e. stabilization of vital signs and reduction in
blood transfusion. Safety was assessed by any evidence for ischemic damage of pelvic
organs or tissues.
Results
Of 61 patients undergoing BIIAE, bleeding control was confirmed radiographically in
60 (98%) and clinically in 55 (90%), including 4 (7%) patients who required repeat
embolization. Six (10%) patients died due to insufficient pelvic bleeding control.
No BIIAE-related complications were identified.
Conclusion
The overall clinical effectiveness and safety rates of BIIAE for pelvic bleeding control,
when combined with other methods of hemostasis, were 90% and 100% respectively.
Keywords
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Article info
Publication history
Published online: December 31, 2019
Accepted:
December 9,
2019
Received in revised form:
December 1,
2019
Received:
September 12,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
