Stent Graft Treatment of an External Iliac Artery Injury Associated with Pelvic Fracture

by Zsolt Balogh, Erika Vörös, Gábor Süveges, and J. Aurél Simonka

J Bone Joint Surg AmVolume 85(5):919-922

May 1, 2003

©2003 by The Journal of Bone and Joint Surgery, Inc.

Contrast-enhanced helical computed tomography of the pelvic region shows comminuted sacral fractures (black arrows) and contrast extravasation around the left iliac vessels (white arrow)

surrounded by a large pelvic hematoma.

Zsolt Balogh et al. J Bone Joint Surg Am 2003;85:919-922

©2003 by The Journal of Bone and Joint Surgery, Inc.

Digital subtraction angiography of the pelvic vessels, performed before insertion of the stent graft, shows the embolized branches of the internal iliac artery (short arrows) and the contrast

extravasation from the left external iliac artery (long arrow).

Zsolt Balogh et al. J Bone Joint Surg Am 2003;85:919-922

©2003 by The Journal of Bone and Joint Surgery, Inc.

Digital subtraction angiography of the pelvic vessels, performed after insertion of the stent graft, demonstrates control of extravasation from the left external iliac artery after the deployment of

the stent graft (long arrow).

Zsolt Balogh et al. J Bone Joint Surg Am 2003;85:919-922

©2003 by The Journal of Bone and Joint Surgery, Inc.

An autopsy specimen from the left iliac arteries shows the stented left external iliac artery (long arrow) and the embolized branch of the left internal iliac artery (short arrow) surrounded by

hematoma.

Zsolt Balogh et al. J Bone Joint Surg Am 2003;85:919-922

©2003 by The Journal of Bone and Joint Surgery, Inc.