An algorithm for the management of exsanguinating pelvic trauma
Severe pelvic injuries associated with disruption of pelvic vasculature carry an extremely high mortality. A directed approach to management can significantly improve survival in this critical patient group.
Patch angioplasty is used to repair a partial disruption of a vessel wall or longitudinal incision, where simple suture would result in narrowing of the vessel. The arteriotomy below was made in the common femoral artery as part of a procedure to remove clot from the external iliac artery
Eric Frykberg discusses the management of these complex injuries.
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