ReviewRadiographics : a review publication of the Radiological Society of North America, Inc
Multidetector CT in Vascular Injuries Resulting from Pelvic Fractures: A Primer for Diagnostic Radiologists.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Diagnostic value of CT contrast extravasation for major arterial injury after pelvic fracture: A meta-analysis.The American journal of emergency medicine · 2020Pooled it
- Pelvic hemorrhage in the context of demographic change: frequency and CT-based characterization of pelvic bleeding.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Complete abdominal aortic occlusion following seat-belt trauma: a proposal for early recognition.BJR case reports · 2026Review
- Article
- Management strategies for iatrogenic urogenital vascular injuries: surgical and endovascular interventions.BMC surgery · 2026Observational
- Predictors of the need for angioembolization in blunt pelvic trauma.Trauma surgery & acute care open · 2026Article
- Iliac blood vessel injuries in traumatic pelvic fractures: a National Trauma Data Bank analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- CT angiography of the lower abdomen should be considered with vaginal trauma and excessive bleeding, even though there are no pelvic fractures present.BMJ case reports · 2025Article
- Interpretable Severity Scoring of Pelvic Trauma Through Automated Fracture Detection and Bayesian Inference.IEEE transactions on medical imaging · 2025Article
- Clinical management of active bleeding: what the emergency radiologist needs to know.Emergency radiology · 2024Review
- Automated Association for Osteosynthesis Foundation and Orthopedic Trauma Association classification of pelvic fractures on pelvic radiographs using deep learning.Scientific reports · 2024Article
- Clinical value of low-dose three-dimensional reconstruction by multi-slice spiral computed tomography and by traditional X-ray in the diagnosis of distal radius epiphyseal injury in children.American journal of translational research · 2024Article
- Pelvic ring fractures with concomitant large hematomas: diagnostic investigation with arteriography and eventual embolization in 157 trauma patients, with or without contrast extravasation at emergency CT.La Radiologia medica · 2023Article
- Crush syndrome: a review for prehospital providers and emergency clinicians.Journal of translational medicine · 2023Review
- Traumatic hemorrhage and chain of survival.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Review
- 3D and cinematic rendering of abdominopelvic pathology in the peripartum period.Abdominal radiology (New York) · 2023Review
- Common and uncommon vascular injuries and endovascular treatment associated with pelvic blunt trauma: a real-world experience.Japanese journal of radiology · 2023Review
- Know your way around acute unenhanced CT during global iodinated contrast crisis: a refresher to ED radiologists.Emergency radiology · 2022Review
- Multi-slice spiral computed tomography in diagnosing unstable pelvic fractures in elderly and effect of less invasive stabilization.World journal of clinical cases · 2022Article
- Imaging Review of Pelvic Ring Fractures and Its Complications in High-Energy Trauma.Diagnostics (Basel, Switzerland) · 2022Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pelvic vascular injuries are typically caused by high-energy trauma. The majority of these injuries are caused by motor vehicle collisions, and the rest are caused by falls and industrial or crush injuries. Pelvic vascular injuries are frequently associated with pelvic ring disruption and have a high mortality rate due to shock as a result of pelvic bleeding. Morbidity and mortality resulting from pelvic vascular injury are due to pelvic hemorrhage and resultant exsanguination, which is potentially treatable and reversible if it is diagnosed early with multidetector CT and treated promptly. The pelvic bleeding source can be arterial, venous, or osseous, and differentiating an arterial (high-pressure) bleed from a venous-osseous (low-pressure) bleed is of paramount importance in stratification for treatment. Low-pressure venous and osseous bleeds are initially treated with a pelvic binder or external fixation, while high-pressure arterial bleeds require angioembolization or surgical pelvic packing. Definitive treatment of the pelvic ring disruption includes open or closed reduction and internal fixation. Multidetector CT is important in the trauma setting to assess and characterize pelvic vascular injuries with multiphasic acquisition in the arterial and venous phases, which allows differentiation of the common vascular injury patterns. This article reviews the anatomy of the pelvic vessels and the pelvic vascular territory; discusses the multidetector CT protocols used in diagnosis and characterization of pelvic vascular injury; and describes the spectrum of pelvic vascular injuries, the differentiation of common injury patterns, mimics, and imaging pitfalls.
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