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Notfallembolisation

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Angiofibel

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Zusammenfassung

Instabile Beckenfrakturen führen bei 5–20 % der Patienten zu einer pelvinen Massenblutung mit Kreislaufinstabilität. Die Mortalität beträgt dann angesichts des Blutverlusts und schockbedingter Folgeerkrankungen wie ARDS („acute respiratory distress syndrome“) und Multiorganversagen 18–40 % [5][36][48][51]. Ursächlich kommen zwei verschiedene Blutungsquellen in Frage:

  • venöse Blutungen aus den intrapelvinen Venenplexus an Os sacrum, Rektum oder Harnblase sowie aus spongiösen Frakturflächen

  • arterielle Blutungen zumeist aus Ästen der A. iliaca interna (AII).

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Authors and Affiliations

  1. Abteilung für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    Ulrike Stampfl PD Dr. med. & Gerd Nöldge Prof. Dr. med.

  2. Radiologische Klinik, Abteilung Diagnostische und Interventionelle Radiologie, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    Boris A. Radeleff Prof. Dr.

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  1. Ulrike Stampfl PD Dr. med.
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  2. Boris A. Radeleff Prof. Dr.
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  3. Gerd Nöldge Prof. Dr. med.
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Correspondence to Ulrike Stampfl PD Dr. med. .

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  1. Radiologische Klinik, Abteilung Diagnostische und Intervention, Universität Heidelberg, Im Neuenheimer Feld 110, Heidelberg, 69120, Baden-Württemberg, Germany

    Boris A. Radeleff

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Stampfl, U., Radeleff, B.A., Nöldge, G. (2013). Notfallembolisation. In: Radeleff, B. (eds) Angiofibel. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-33230-2_12

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