High incidence of surgical site infection may be related to suboptimal case selection for non-selective arterial embolization during resuscitation of patients with pelvic fractures: a retrospective study

Lai, Chih-Yang; Tseng, I-Chuan; Su, Chun-Yi; Hsu, Yung-Heng; Chou, Ying-Chao; Chen, Huan-Wu; Yu, Yi-Hsun

doi:10.1186/s12891-020-03372-5

Table 3 Demographic details of patients with surgical site infections who underwent AE and osteosynthesis

From: High incidence of surgical site infection may be related to suboptimal case selection for non-selective arterial embolization during resuscitation of patients with pelvic fractures: a retrospective study

Case	Sex	Age range (years)	ISS	Associated soft tissue injury	Initial shock	Response to resuscitation	CT findings	Angiography findings and procedure	Embolization material	Surgical approach	Bacteria
1	Male	20–29	35	Morel Lavallée lesion	Yes	Yes	1. CE in left paravesical space 2. Retroperitoneal hematoma	1. Pseudoaneurysm of BIIA, along with pelvic wall hematoma Procedure: BIIAE	Gelfoam	Posterior	MDRAB, E coli., KP
2	Female	30–39	32	None	Yes	No	1. Hematoma over pelvic wall 2. No CE	1. No CE Procedure: BIIAE	Gelfoam	Posterior + anterior	MRSA
3	Male	50–59	32	Open fracture	Yes	No	No CE	1. CE at the anterior division of BIIA Procedure: BIIAE	Gelfoam	Posterior	OSSA
4	Male	20–29	34	Morel Lavallée lesion	Yes	Yes	No CE	1. CE and pseudoaneurysm of left EIA 2. Small pseudoaneurysm at the gluteal region Procedure: BIIAE	Gelfoam	Posterior	MRSA
5	Female	60–69	36	None	Yes	No	Delayed contrast pooling around left retropubic region	No CE Procedure: BIIAE	Gelfoam	Anterior	MRSA
6	Male	20–29	27	Open fracture	Yes	No	CE within the pelvis	1. No CE 2. Tiny pseudoaneurysm at the pelvic floor Procedure: BIIAE	Gelfoam	Anterior	MRSA
7	Female	60–69	17	Morel Lavallée lesion	Yes	No	CE over the RIIA	1. CE at the RIIA Procedure: BIIAE	Gelfoam	Posterior + anterior	E coli
8	Female	40–49	16	Morel Lavallée lesion	Yes	Yes	1. CE at the presacral space 2. Peri-rectal hematoma	1. CE at the LIIA Procedure: BIIAE	Gelfoam	Posterior	E coli
9	Female	40–49	30	Morel Lavallée lesion	No	Yes	CE at the anterior surface of the right hemi-pelvis	CE at the BIIA Procedure: BIIAE	Gelfoam	Posterior + anterior	MRSA
10	Female	18–19	29	Morel Lavallée lesion	Yes	No	CE at the left hemi-pelvis	Abruption termination of the LIIA without CE Procedure: LIIAE	Gelfoam	Posterior + anterior	MSSA
11	Male	40–49	25	None	No	Yes	Hematoma at the left hemi-pelvis	CE at the LIIA Procedure: BIIAE	Gelfoam	Posterior	MSSA

BIIAE bilateral internal iliac artery embolization, CE contrast extravasation, CT computed tomography, E. coli: Escherichia coli, EIA external iliac artery, ISS injury severity score, KP Klebsiella pneumonia, LIIAE left internal iliac artery embolization, MDRAB multi drug-resistant Acinetobacter baumannii, MRSA methicillin-resistant Staphylococcus aureus, MSSA methicillin-sensitive Staphylococcus aureus, RIIAE right internal iliac artery embolizatio

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ISSN: 1471-2474

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