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”nmp-52Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREЭНДОВАСКУЛЯРНЫЕ МЕТОДЫ ЛЕЧЕНИЯ ПРИ ПЕРЕЛОМАХ КОСТЕЙ ТАЗА (ОБЗОР ЛИТЕРАТУРЫ)ENDOVASCULAR TREATMENT FOR PELVIC FRACTURES (A LITERATURE REVIEW)ПрозоровС. А.ProzorovS. A.

д.м.н., ведущий научный сотрудник отделения рентгенохирургических методов диагностики и лечения

surgeonserge@mail.ruИвановП. А.IvanovP. A.НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы, МоскваРоссияN.V. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, MoscowRussian Federation201521022016012432Copyright © Прозоров С.А., Иванов П.А., 20162016Прозоров С.А., Иванов П.А.Prozorov S.A., Ivanov P.A.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/52

РЕЗЮМЕ. Переломы костей таза могут сопровождаться травмой сосудов с последующим кровотечением, нестабильностью гемодинамики и высокой летальностью. Используются следующие эндоваскулярные методы: временная окклюзия аорты баллоном, стентирование при повреждении магистральных артерий, и, наиболее широко, эмболизация. Часто эмболизация применяется в комплексе лечебных мероприятий. Несмотря на высокую эффективность методов, существуют различные подходы и алгоритмы, возможны осложнения, может возникать необходимость в повторных вмешательствах. Обзор посвящен анализу диагностики, тактики лечения и результатов применения эндоваскулярных методов при травме таза, сочетающейся с повреждением сосудов. 

ABSTRACT. Fractures of the pelvis may be accompanied by a vascular injury with subsequent bleeding, hemodynamic instability and high mortality. The following endovascular techniques are used: temporal aortic occlusion with a balloon, stents in case of damage of the great arteries, and most commonly — embolization.Embolization is often used in a complex of therapeutic measures. despite the high effectiveness of the methods, there are various approaches and algorithms, complications are possible andthe need for repeated interventions may occur. The review is related to diagnosis, treatment strategy, results of the use of endovascular techniques in pelvic trauma, combined with the damage to blood vessels. 

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