ЭНДОВАСКУЛЯРНЫЕ МЕТОДЫ ЛЕЧЕНИЯ ПРИ ПЕРЕЛОМАХ КОСТЕЙ ТАЗА (ОБЗОР ЛИТЕРАТУРЫ)
Аннотация
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.
Ключевые слова
Об авторах
С. А. Прозоров
НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы, Москва
Россия
д.м.н., ведущий научный сотрудник отделения рентгенохирургических методов диагностики и лечения
Россия
д.м.н., ведущий научный сотрудник отделения рентгенохирургических методов диагностики и лечения
П. А. Иванов
НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы, Москва
Россия
Россия
Список литературы
1. Cullinane D.C., Schiller H.J., Zielinski M.D., et al. Eastern Association for the Surgery of Trauma practice management guidelines for hemorrhage in pelvic fracture-update and systematic review // J. Trauma. – 2011. – Vol. 71, N. 6. – P. 1850–1868.
2. Hauschild O., Strohm P.C., Culemann U., et al. Mortality in patients with pelvic fractures: results from the German pelvic injury register // J. Trauma. – 2008. – Vol. 64, N. 2. – P. 449–455.
3. Fu C.Y., Wang Y.C., Wu S.C., et al. Angioembolization provides benefits in patients with concomitant unstable pelvic fracture and unstable hemodynamics // Am. J. Emerg. Med. – 2012. – Vol. 30, N. 1. – P. 207–213.
4. Niola R., Pinto A., Sparano A., et al. Arterial bleeding in pelvic trauma: priorities in angiographic embolization // Curr. Probl. Diagn. Radiol. – 2012. – Vol. 41, N. 3. – P. 93–101.
5. Blackmoore C.C., Cummings P., Jurkovich G.J., et al. Predicting major hemorrhage in patients with pelvic fracture // J. Trauma. – 2006. – Vol. 61, N. 2. – P. 346–352.
6. Bramos A., Velmahos G.C., Butt U.M., et al. Predictors of bleeding from stable pelvic fractures // Arch. Surg. – 2011. – Vol. 146, N. 4. – P. 407– 411.
7. Lindahl J., Handolin L., Soderlund T., et al. Angiographic embolization in the treatment of arterial pelvic hemorrhage: evaluation of prognostic mortality-related factors // Eur. J. Trauma Emerg. Surg. – 2013. – Vol. 39, N. 1. – P. 57–63.
8. Sadri H., Nguyen-Tang T., Stern R., et al. Control of severe hemorrhage using C-clamp and arterial embolization in hemodynamically unstable patients with pelvic ring disruption // Arch. Orthop. Trauma Surg. – 2005. – Vol. 125, N. 7. – P. 443–447.
9. Miller P.R., Moore P.S., Mansell E., et al. External fixation or arteriogram in bleeding pelvic fracture: initial therapy guided by markers of arterial hemorrhage // J. Trauma. – 2003. – Vol. 54, N. 3. – P. 437–443.
10. Smith W., Williams A., Aqudelo J., et al. Early predictors of mortality in hemodynamically unstable pelvis fractures // J. Orthop. Trauma. – 2007. – Vol. 21, N. 1. – P. 31–37.
11. Niwa T., Takebayashi S., Igari H., et al. The value of plain radiographs in the prediction of outcome in pelvic fractures treated with embolisation therapy // Br. J. Radiol. – 2000. – Vol. 73, N. 873. – P. 945–950.
12. Fu C.Y., Wu S.C., Chen R.J., et al. Evaluation of pelvic fracture stability and the need for angioembolization: pelvic instabilities on plain film have an increased probability of requiring angioembolization // Am. J. Emerg. Med. – 2009. – Vol. 27, N. 7. – P. 792–796.
13. Friese R.S., Malekzadeh S., Shafi S., et al. Abdominal ultrasound is an unreliable modality for the detection of hemoperitoneum in patients with pelvic fracture // J.Trauma. – 2007. – Vol. 63, N. 1. – P. 97–102.
14. Tayal V.S., Nielsen A., Jones A.E., et al. Accuracy of trauma ultrasound in major pelvic injury // J. Trauma. – 2006. – Vol. 61, N. 6. – P. 1453–1457.
15. Ruchholts S., Waydhas C., Lewan U., et al. Free abdominal fluid on ultrasound in unstable pelvic ring fracture: is laparotomy always necessary? // J. Trauma. – 2004. – Vol. 57, N. 2. – P. 285–287.
16. Ballard R.B., Rozycki G.S., Newman P.G., et al. An algorithm to reduce the incidence of false-negative FAST examinations in patients at high risk for occult injury. Focused Assessment for the Sonographic Examination of the Trauma patient // J. Am. Coll. Surg. – 1999. – Vol. 189, N. 2. – P. 145–150.
17. Pereira S.J., O’Brien D.P., Luchette F.A., et al. Dynamic helical computed tomography scan accurately detects hemorrhage in patients with pelvic fracture // Surgery. – 2000. – Vol. 128, N. 4. – P. 678–685.
18. Ryan M.T., Hamilton P.A., Chu P., Hanaghan J. Active extravasation of arterial contrast agent on post-traumatic abdominal computed tomography // Can. Assoc. Radiol. J. – 2004. – Vol. 55, N. 3. – P. 160–169.
19. Brasel K.J., Pham K., Yang H., et al. Significance of contrast extravasation in patients with pelvic fracture // J.Trauma. – 2007. – Vol. 62, N. 5. – P. 1149–1152.
20. Brown C.V., Kasotakis G., Wilcox A., et al. Does pelvic hematoma on admission computed tomography predict active bleeding at angiography for pelvic fracture? // Am. Surg., – 2005. – Vol. 71, N. 9. – P. 759–762.
21. Romano L., Pinto A., De Lutio Di Castelguidone E., et al. Spiral computed tomography in the assessment of vascular lesions of the pelvis due to blunt trauma // Radiol. Med. – 2000. – Vol. 100, N. 1–2. – P. 29–32.
22. Romano L., Pinto A., Niola R., et al. Bleeding due to pelvic fractures in female patients: pictorial review of multidetector computed tomography imaging // Curr. Probl. Diagn. Radiol. – 2012. – Vol. 41, N. 3. – P. 83– 92.
23. Stephen D.J., Kreder H.J., Day A.C., et al. Early detection of arterial bleeding in acute pelvic trauma // J.Trauma. – 1999. – Vol. 47, N. 4.– P. 638– 642.
24. Verbeek D.O., Zijlstra I.A., van der Leij C., et al. Management of pelvic ring fracture patients with a pelvic “blush” on early computed tomography // J. Trauma Acute Care Surg. – 2014. – Vol. 76, N. 2. – P. 374–379.
25. Bozeman M.C., Cannon R.M., Trombold J.M., et al. Use of computed tomography findings and contrast extravasation in predicting the need for embolization with pelvic fractures // Am. Surg. –2012. – Vol. 78, N. 8 – P. 825–830.
26. Jeske H.C., Larndorfer R., Krappinger D., et al. Management of hemorrhage in severe pelvic injuries // J. Trauma. – 2010. – Vol. 68, N. 2. – P. 415–420.
27. Pieri S., Agresti P., Morucci M., et al. Percutaneous management of hemorrhages in pelvic fractures // Radiol. Med. – 2004. – Vol. 107, N. 3. – P. 241–251.
28. Westhoff J., Laurer H., Wutzler S., et al. Interventionelle Notfallembolisation bei schweren Beckenfrakturen mit arterieller Blutung. Integration in den fruhklinischen Behandlungsalgorithmus // Unfallchirurg. – 2008. – Bd. 111, H. 10. – S. 821–828.
29. Martinelli T., Thony F., Declety P., et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures // J. Trauma. – 2010. – Vol. 68, N. 4. – P. 942–948.
30. Kataoka Y., Minehara H., Shimada K., et al. Sepsis caused by peripelvic soft tissue infections in critically injured patients with multiple injuries and unstablepelvic fracture // J.Trauma. – 2009. – Vol. 66, N. 6. – P. 1548–1554.
31. Abrassart S., Stern R., Peter R. Unstable pelvic ring injury with hemodynamic instability: what seems the best procedure choice and sequence in the initial management? // Orthop. Traumatol. Surg. Res. – 2013. – Vol. 99, N. 2. – P. 175–182.
32. Balogh Z., Voros E., Suveges G., Simonka J.A. Stent graft treatment of an external iliac artery injury associated with pelvic fracture. A case report // J. Bone Joint Surg. Am. – 2003. – Vol. 85, N. 5. – P. 919–922.
33. Shah S.H., Ledgerwood A.M., Lucas C.E. Successful endovascular stenting for common iliac artery injury associated with pelvic fracture // J. Trauma. – 2003. – Vol. 55, N. 2. – P. 383–385.
34. Sternbergh W.C. 3rd, Conners M.S. 3rd, Ojeda M.A., Money S.R. Acute bilateral iliac artery occlusion secondary to blunt trauma: successful endovascular treatment // J. Vasc. Surg. – 2003. – Vol. 38, N. 3. – P. 589– 592.
35. Lauerman M.H., Rybin D., Doros G., et al. Characterization and outcomes of iliac vessel injury in the 21st century: a review of the National Trauma Data Bank // Vasc. Endovascular. Surg. – 2013. – Vol. 47, N. 5. – P. 325– 330.
36. Eastridge B.J., Starr A., Minei J.P., et al. The importance of fracture pattern in guiding therapeutic decision-making in patients with hemorrhagic shock and pelvic ring disruptions // J. Trauma. – 2002. – Vol. 53, N. 3. – P. 446–450.
37. Fang J.F., Shin L.Y., Wong Y.C., et al. Angioembolization and laparotomy for patients with concomitant pelvic arterial hemorrhage and blunt abdominal trauma // Langenbecks Arch. Surg. – 2011. – Vol. 396, N. 2. – P. 243–250.
38. Osborn P.M., Smith W.R., Moore E.E., et al. Direct retroperitoneal pelvic packing versus pelvic angiography: A comparison of two management protocols for haemodynamically unstable pelvic fractures // Injury. – 2009. – Vol. 40, N. 1. – P. 54–60.
39. Cook R.E., Keating J.F., Gillespie I. The role of angiography in the management of haemorrhage from major fractures of the pelvis // J. Bone Joint Surg. Br. – 2002. – Vol. 84, N. 2. – P. 178–182.
40. Brun J., Guillot S., Bouzat P., et al. Detecting active pelvic arterial haemorrhage on admission following serious pelvic fracture in multiple trauma patients // Injury. – 2014. – Vol. 45, N. 1. – P. 101–106.
41. Kimbrell B.J., Velmahos G.C., Chan L.S., Demetriades D. Angiographic embolization for pelvic fractures in older patients // Arch. Surg. – 2004. – Vol. 139, N. 7. – P. 728–732.
42. Velmahos G.C., Toutouzas K.G., Vassiliu P., et al. A prospective study on the safety and efficacy of angiographic embolization for pelvic and visceral injuries // J. Trauma. – 2002. – Vol. 53, N. 2 – P. 303–308.
43. Salim A., Teixeira P.G., DuBose J., et al. Predictors of positive angiography in pelvic fractures: a prospective study // J. Am. Coll. Surg. – 2008. – Vol. 207, N. 5. – P. 656–662.
44. Sarin E.L., Moore J.B., Moore E.E., et al. Pelvic fracture pattern does not always predict the need for urgent embolization // J. Trauma. – 2005. – Vol. 58, N. 5. – P. 973–977.
45. Velmahos G.C., Chahwan S., Hanks S.E., et al. Angiographic embolization of bilateral internal iliac arteries to control life-threatening hemorrhage after blunt trauma to the pelvis // Am. Surg. – 2000. – Vol. 66, N. 9. – P. 858–862.
46. Wild M., Weigand H., Steingasser C., Wenda K. Notfall-Embolisation bei schwerer Blutung nach traumatischer Symphysensprengung // Zentralbl. Chir. – 2005. – Bd. 130, H. 2. – S. 170–173.
47. Geeraerts T., Chhor V., Cheisson G., et al. Clinical review: initial management of blunt pelvic trauma patients with haemodynamic instability // Crit. Care. – 2007. – Vol. 11, N. 1. – P. 204–209.
48. Schwartz D.A., Medina M., Cotton B.A., et al. Are we delivering two standards of care for pelvic trauma? Availability of angioembolization after hours and on weekends increases time to therapeutic intervention // J. Trauma Acute Care Surg. – 2014. – Vol. 76, N. 1. – P. 134–139.
49. Hamill J., Holden A., Paice R., Civil I. Pelvic fracture pattern predicts pelvic arterial haemorrhage // Aust. N. Z. J. Surg. – 2000. – Vol. 70, N. 5. – P. 338–343.
50. Costantini T.W., Bosarge P.L., Fortlage D., et al. Arterial embolization for pelvic fractures after blunt trauma: are we all talk? // Am. J.Surg. – 2010. – Vol. 200, N. 6. – P. 752–757.
51. Fangio P., Asehnoune K., Edouard A., et al. Early embolization and vasopressor administration for management of life-threatening hemorrhage from pelvic fracture // J. Trauma. – 2005. – Vol. 58, N. 5. – P. 978–984.
52. Metsemakers W.J., Vanderschot P., Jennes E., et al. Transcatheter embolotherapy after external surgical stabilization is a valuable treatment algorithm for patients with persistent haemorrhage from unstable pelvic fractures: outcomes of a single centre experience // Injury. – 2013. – Vol. 44, N. 7. – P. 964–968.
53. Panetta T., Sclafani S.J., Goldstein A.S., et al. Percutaneous transcatheter embolization for massive bleeding from pelvic fractures // J. Trauma. – 1985. – Vol. 25, N. 11. – P. 1021–1029.
54. Wong Y.C., Wang L.J., Ng C.J., et al. Mortality after successful transcatheter arterial embolization in patients with unstable pelvic fractures: rate of blood transfusion as a predictive factor // J. Trauma. – 2000. – Vol. 49, N. 1. – P. 71–75.
55. Fu C.Y., Hsieh C.H., Wu S.C., et al. Anterior-posterior compression pelvic fracture increases the probability of requirement of bilateral embolization // Am. J. Emerg. Med. – 2013. – Vol. 31, N. 1. – P. 42–49.
56. Auerbach A.D., Rehman S., Kleiner M.T. Selective transcatheter arterial embolization of the internal iliac artery does not cause gluteal necrosis in pelvictrauma patients // J. Othop. Trauma. – 2012. – Vol. 26, N. 5. – P. 290–295.
57. Ramirez J.I., Velmahos G.C., Best C.R., et al. Male sexual function after bilateral internal iliac artery embolization for pelvic fracture // J. Trauma. – 2004. – Vol. 56, N. 4. – P. 739–741.
58. Manson T.T., Perdue P.W., Pollak A.N., O’Toole R.V. Embolization of pelvic arterial injury is a risk factor for deep infection after acetabular fracture surgery // J. Orthop. Trauma. – 2013. – Vol. 27, N. 1. – P. 11–15.
59. Matityahu A., Marmor M., Elson J.K., et al. Acute complications of patients with pelvic fractures after pelvic angiographic embolization // Clin. Orthop. Relat. Res. – 2013. – Vol. 471, N. 9. – P. 2906–2911.
60. Suzuki T., Shindo M., Kataoka Y., et al. Clinical characteristics of pelvic fracture patients with gluteal necrosis resulting from transcatheter arterial embolization // Arch. Orthop. Trauma Surg. – 2005. – Vol. 125, N. 7. – P. 448–452.
61. Yasumura K., Ikegami K., Kamohara T., Nohara Y. High incidence of ischemic necrosis of the gluteal muscle after transcatheter angiographic embolization for severe pelvic fracture // J. Trauma. – 2005. – Vol. 58, N. 5. – P. 985–990.
62. Karadimas E.J., Nicolson T., Kakagia D.D., et al. Angiographic embolisation of pelvic ring injuries. Treatment algorithm and review of the literature // Int. Ortop. – 2011. – Vol. 35, N. 9. – P. 1381–1390.
63. Takahira N., Shindo M., Tanaka K., et al. Gluteal muscle necrosis following transcatheter angiographic embolisation for retroperitoneal haemorrhage associated with pelvic fracture // Injury. – 2001. – Vol. 32, N. 1. – P. 27–32.
64. Gourlay D., Hoffer E., Routt M., Bulger E. Pelvic angiography for recurrent traumatic pelvic arterial hemorrhage // J. Trauma. – 2005. – Vol. 59, N. 5. – P. 1168–1173.
65. Fang J.F., Shin L.Y., Wong Y.C., et al. Repeat transcatheter arterial embolization for the management of pelvic arterial hemorrhage // J. Trauma. – 2009. – Vol. 66, N. 2. – P. 429–435.
66. Shapiro M., McDonald A.A., Knight D., et al. The role of repeat angiography in the management of pelvic fractures // J. Trauma. – 2005. – Vol. 58, N. 2. – P. 227–231.
67. Starr A.J., Griffin D.R., Reinert C.M., et al. Pelvic ring disruptions: prediction of associated injuries, transfusion requirement, pelvic arteriography, complications, and mortality // J. Orthop. Trauma. – 2002. – Vol. 16, N. 8. – P. 553–561.
68. Hagiwara A., Minakawa K., Fukushima H., et al. Predictors of death in patients with life-threatening pelvic hemorrhage after successful transcatheter arterial embolization // J. Trauma. – 2003. – Vol. 55, N. 4. – P. 696–703.
69. Totterman A., Dormagen J.B., Madsen J.E., et al. A protocol for angiographic embolization in exsanguinating pelvic trauma: a report on 31 patients // Acta Orthop. – 2006. – Vol. 77, N. 3. – P. 462–468.
70. Allen C.F., Goslar P.W., Barry M., Christiansen T. Management guidelines for hypotensive pelvic fracture patients // Am. Surg. – 2000. – Vol. 66, N. 8. – P. 735–738.
Рецензия
Для цитирования:
Прозоров С.А., Иванов П.А. ЭНДОВАСКУЛЯРНЫЕ МЕТОДЫ ЛЕЧЕНИЯ ПРИ ПЕРЕЛОМАХ КОСТЕЙ ТАЗА (ОБЗОР ЛИТЕРАТУРЫ). Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь». 2015;(1):24-32.
For citation:
Prozorov S.A., Ivanov P.A. ENDOVASCULAR TREATMENT FOR PELVIC FRACTURES (A LITERATURE REVIEW). Russian Sklifosovsky Journal "Emergency Medical Care". 2015;(1):24-32. (In Russ.)
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