Issues related to application of internal iliac artery devascularization in the emergency management of hemodynamically unstable pelvic fracture
10.3760/cma.j.cn501098-20240313-00210
- VernacularTitle:髂内动脉断血术在血流动力学不稳定骨盆骨折急救中应用的相关问题
- Author:
Hui LI
1
;
Guangbin HUANG
;
Dingyuan DU
Author Information
1. 重庆大学附属中心医院，重庆市急救医疗中心创伤外科，重庆大学医学院创伤医学中心，重庆 400014
- Keywords:
Pelvis, injured;
Shock, traumatic;
Internal iliac artery;
Ligation;
Embolization, therapeutic
- From:
Chinese Journal of Trauma
2024;40(7):577-584
- CountryChina
- Language:Chinese
-
Abstract:
Hemodynamically unstable pelvic fracture is an important cause of trauma-related deaths and its treatment presents a major challenge for trauma surgery. Internal iliac artery devascularization including ligation and embolization of the internal iliac artery with occlusion of the internal iliac artery as their hemostatic mechanism, has been proved to be effective in controlling massive hemorrhage after pelvic fracture. Nevertheless, there still remain substantial differences in the understanding of internal iliac artery devascularization in clinical practice. Some and issues that should be paid attention to its emergency application in the management of hemodynamically unstable pelvic fracture have not been fully elucidated. To this end, the authors emphasized the efficacy and safety of internal iliac artery devascularization, its indications, and key points in implementation, aiming to promote its standardized application in the treatment of hemodynamically unstable pelvic fracture, thus improving treatment outcomes.
