Faculty Collaboration Database

Frequency of external iliac artery branch injury in blunt trauma: improved detection with selective external iliac angiography. J Vasc Interv Radiol 2013 Mar;24(3):363-9

Date

02/26/2013

Pubmed ID

23433412

DOI

10.1016/j.jvir.2012.12.006

Scopus ID

2-s2.0-84874770681 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

PURPOSE: To assess the utility of selective external iliac artery (EIA) angiography and the frequency of injury to branches of the EIA in cases of blunt pelvic trauma.

MATERIALS AND METHODS: A retrospective review of pelvic angiograms in 66 patients with blunt pelvic trauma was conducted over a 12-month period. Pelvic and femur fracture patterns were correlated to the presence of EIA injury. Pelvic arteriography was compared versus selective EIA angiography for the detection of arterial injury.

RESULTS: Fifty-four of 66 patients (82%) exhibited pelvic arterial injury or elicited enough suspicion for injury to warrant embolization. Internal iliac artery embolization was performed in 50 of 66 (76%). EIA branch injury was identified in 11 of 66 patients (17%), and 10 were successfully embolized. EIA branch vessel injury was identified more frequently when there was ipsilateral intertrochanteric fracture (P = .07) or ipsilateral ilium fracture (P = .07). The sensitivity of nonselective pelvic angiography in the detection of EIA branch vessel injury was 45%.

CONCLUSIONS: EIA branch injury occurs in a substantial fraction of patients with blunt pelvic trauma who undergo pelvic angiography. Selective EIA angiography should be considered in all patients undergoing pelvic angiography in this situation.

Author List

Johnson GE, Sandstrom CK, Kogut MJ, Ingraham CR, Stratil PG, Valji K, Vo NJ, Glickerman D, Hippe DS, Padia SA

Author

Nghia (Jack) Vo MD Chief, Professor in the Radiology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Contrast Media
Embolization, Therapeutic
Femoral Fractures
Humans
Iliac Artery
Logistic Models
Male
Middle Aged
Odds Ratio
Pelvic Bones
Predictive Value of Tests
Radiography
Retrospective Studies
Sensitivity and Specificity
Vascular System Injuries
Wounds, Nonpenetrating