nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2022-11-2-347-354nmp-1421Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSЭндоваскулярные вмешательства при повреждениях вен тазаEndovascular Treatment of Pelvic Venous Injurieshttps://orcid.org/0000-0002-9680-9722ПрозоровС. А.ProzorovS. A.

Прозоров Сергей Анатольевич, ведущий научный сотрудник

Российская Федерация, 129090, Москва, Большая Сухаревская пл., д. 3

Sergey A.Prozorov, Doctor of Medical Sciences, Leading Researcher

3 B. Sukharevskaya Sq., Moscow, 129090, Russian Federation

surgeonserge@mail.ruhttps://orcid.org/0000-0002-2954-6985ИвановП. А.IvanovP. A.

Иванов Павел Анатольевич - доктор медицинских наук, заведующий научным отделением сочетанной и множественной травмы

Российская Федерация, 129090, Москва, Большая Сухаревская пл., д. 3

Pavel A. Ivanov - Doctor of Medical Sciences, Head of the Department of Multiple and Combined Trauma

3 B. Sukharevskaya Sq., Moscow, 129090, Russian Federation

ipamailbox@gmail.comhttps://orcid.org/0000-0003-1264-7162ЗаднепровскийН. Н.ZadneprovskyN. N.

Заднепровский Никита Николаевич научный сотрудник отделения сочетанной и множественной травмы

Российская Федерация, 129090, Москва, Большая Сухаревская пл., д. 3

Nikita N. Zadneprovsky - Science Researcher of the Department of Multiple and Combined trauma

3 B. Sukharevskaya Sq., Moscow, 129090, Russian Federation

zacuta2011@gmail.comОтделение рентгенохирургических методов диагностики и лечения ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияDepartment of Interventional Radiology N.V. Sklifosovky Research Institute for Emergency MedicineRussian FederationОтделение рентгенохирургических методов диагностики и лечения ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияDepartment of Interventional Radiology Institute for Emergency MedicineRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovky Research Institute for Emergency MedicineRussian Federation202209092022112347354Copyright © Прозоров С.А., Иванов П.А., Заднепровский Н.Н., 20222022Прозоров С.А., Иванов П.А., Заднепровский Н.Н.Prozorov S.A., Ivanov P.A., Zadneprovsky N.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1421

Повреждения вен таза могут возникать при переломах костей таза, огнестрельных ранениях, ятрогенных травмах при оперативных вмешательствах и приводить к жизнеугрожающим кровотечениям. Компьютерная томография является основным инструментом в дифференциальной диагностике артериального и венозного кровотечения. Открытые хирургические вмешательства при венозной травме могут быть технически затруднены. Эндоваскулярное лечение представляется привлекательной альтернативой.

Эмболизация является основным методом остановки артериального кровотечения; также используют баллонную окклюзию и имплантацию стент-графта. Артериальная эмболизация не может помочь при венозном кровотечении. Проблеме эндоваскулярного лечения повреждений вен таза уделено недостаточно внимания.

ЦЕЛЬ Обобщить имеющиеся сообщения об использовании эндоваскулярного лечения при повреждениях вен таза и показать возможности методов.

Elvic vein injuries can occur with pelvic bone fractures, gunshot wound injury, iatrogenic injuries and lead to life-threatening bleeding. Ct is the main diagnostic tool in differentiating arterial from venous bleeding. Open surgical repair of venous injuries can be technically difficult. Endovascular treatment is an attractive alternative strategy. Embolization is the main method to stop arterial bleeding; balloon occlusion and stent graft implantation are also used. Arterial embolization cannot help in the situation of venous bleeding. The problem of endovascular treatment of pelvic vein injuries was not given enough attention. The purpose of this review is to summarize the available reports on the use of endovascular techniques in pelvic vein trauma and show the capabilities of the methods.

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The authors declare that there are no conflicts of interest present.