Issues related to application of internal iliac artery devascularization in the emergency management of hemodynamically unstable pelvic fracture
Hemodynamically unstable pelvic fracture is an important cause of trauma-related deaths and its treatment presents a major challenge for trauma surgery.Internal iliac artery devascularization including ligation and embolization of the internal iliac artery with occlusion of the internal iliac artery as their hemostatic mechanism,has been proved to be effective in controlling massive hemorrhage after pelvic fracture.Nevertheless,there still remain substantial differences in the understanding of internal iliac artery devascularization in clinical practice.Some and issues that should be paid attention to its emergency application in the management of hemodynamically unstable pelvic fracture have not been fully elucidated.To this end,the authors emphasized the efficacy and safety of internal iliac artery devascularization,its indications,and key points in implementation,aiming to promote its standardized application in the treatment of hemodynamically unstable pelvic fracture,thus improving treatment outcomes.
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