研究者情報

ハラグチ　タカフミ   HARAGUCHI TAKAFUMI   原口貴史    所属   医学部医学科 先端生体画像情報研究講座    職種   助教
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Nonselective Bilateral Embolization of Internal Iliac Arteries with N-Butyl-2-Cyanoacrylate in Hemodynamically Unstable Patients with Pelvic Fracture
掲載誌名	正式名：Interventional Radiology ISSNコード：2432-0935
掲載区分	国内
巻・号・頁	6(2),37-43頁
著者・共著者	Haraguchi T, Hamaguchi S
担当区分	筆頭著者,責任著者
発行年月	2021/07
概要	Purpose: This study was designed to evaluate the efficacy and safety of nonselective bilateral embolization of the internal iliac arteries (IIAs) with n-butyl-2-cyanoacrylate (NBCA) in hemodynamically unstable patients with pelvic fractures. Material and Methods: Twelve patients underwent nonselective bilateral embolization of the IIAs using NBCA diluted with lipiodol at our institution between January 2004 and March 2014. We analyzed the time of bilateral occlusion of the IIAs, the time from admission to entrance into the interventional radiology room, the need for repeat embolization, outcomes, cause of death, follow-up period, and complications. Results: The mean duration of bilateral occlusion of the IIAs was 17 min (range, 4-34 min), and the mean time from admission to entrance into the interventional radiology room was 89 min (range, 28-168 min). All patients underwent technically successful embolization. Repeat embolization was required after treatment in three patients. The mortality rate was 33.3%. Complications after embolization were suspected in one patient. Conclusions: Nonselective bilateral embolization of IIAs with NBCA could be a choice of treatment for hemodynamically unstable patients with severe pelvic fracture hemorrhage.