Diagnosis and therapy of acute hemorrhage in patients with pelvic fractures

Kos, Sebastian; Gutzeit, Andreas; Hoppe, Hanno; Liu, David M; Jacob, Augustinus L (2013). Diagnosis and therapy of acute hemorrhage in patients with pelvic fractures. Seminars in musculoskeletal radiology, 17(4), pp. 396-406. Thieme Medical Publishers 10.1055/s-0033-1356469

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Within the past 15 years, significant advances in the imaging of multiorgan and complex trauma primarily due to the improvement of cross-sectional imaging have resulted in the optimization of the expedient diagnosis and management of the polytrauma patient. At the forefront, multidetector computed tomography (MDCT) has become the cornerstone of modern emergency departments and trauma centers. In many institutions, MDCT is the de facto diagnostic tool upon trauma activation. In the setting of pelvic imaging, MDCT (with its high spatial resolution and sensitivity as well as short acquisition times) allows for rapid identification and assessment of pelvic hemorrhage leading to faster triage and definitive management. In trauma centers throughout the world, angiography and minimally invasive catheter-based embolization techniques performed by interventional radiologists have become the standard of care for patients with acute pelvic trauma and related multiorgan hemorrhage. In an interdisciplinary setting, embolization may be performed either alone or as an adjunct procedure with open or closed reduction and stabilization techniques. A team-based approach involving multiple disciplines (e.g., radiology, traumatology, orthopedic surgery, intensive care medicine) is crucial to monitor and treat the actively bleeding patient appropriately.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Hoppe, Hanno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1089-7860

Publisher:

Thieme Medical Publishers

Language:

English

Submitter:

Aisha Stefania Mzinga

Date Deposited:

13 May 2014 08:23

Last Modified:

13 May 2014 08:23

Publisher DOI:

10.1055/s-0033-1356469

PubMed ID:

24101180

Uncontrolled Keywords:

bleeding, fracture, pelvic, embolization, intervention

URI:

https://boris.unibe.ch/id/eprint/52284

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