tailieunhanh - Ebook Diagnostic imaging interventional procedures: Part 2

(BQ) Part 2 book "Diagnostic imaging interventional procedures" presents the following contents: Venous, portal and lymphatic procedures; nonvascular procedures, oncologic procedures, post-Transplant procedures. | Diagnostic Imaging Interventional Procedures Left common iliac artery DSA shows focal contrast extravasation arising from the superior gluteal artery as well as vasospasm Piv . The bleeding was controlled with Gelfoam embolization of the superior gluteal artery. TERMINOLOGY Definitions Iliac artery aneurysm IAA Abnormal arterial enlargement of 50 of normal vessel diameter o Common iliac artery CIA aneurysm defined as transverse diameter cm Most iliac artery aneurysms associated with abdominal aortic aneurysms AAA Iliac aneurysms present in roughly 20 of AAA Isolated iliac artery aneurysms uncommon 1-2 of all abdominal aneurysmal disease o Internal iliac artery aneurysms rare Typically associated with aortic common iliac artery aneurysms o External iliac artery aneurysms exceedingly rare Hemodynamically unstable pelvic fracture Persistent systolic blood pressure 90 mmHg with associated pelvic fracture o Hemorrhage severity classified according to American College of Surgeons Advanced Trauma Life Support Class I Involves up to 15 of blood volume Class II Involves 15-30 of total blood volume Tachycardia peripheral vasoconstriction pallor Typically responds to volume resuscitation Class III 30-40 loss of circulating blood volume Hypotension peripheral hypoperfusion shock Requires volume resuscitation blood products Class IV Loss of 40 of circulating blood volume 601 Diagnostic Imaging Interventional Procedures Requires aggressive resuscitation to avoid death o Class III-IV patients with pelvic ring disruption need immediate pelvic stabilization with external fixation May also require transcatheter embolization Pertinent Pelvic Vascular Anatomy Common iliac artery Origin at aortic bifurcation divides into external and internal iliac arteries o Typically 4-6 cm long 1 cm in diameter o Extraperitoneal inferolateral course along medial psoas muscle margin bifurcates at pelvic brim External iliac artery Extends from common iliac artery bifurcation to inguinal .

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