“Beyond saving lives”: Current perspectives of interventional radiology in trauma

Figure 14 Pelvic fractures with injury of left internal iliac artery. DSA of 24-year-old hemodynamically unstable patient with extensive pelvic fractures. A-C: Selective catheterization of left common iliac artery showed active contrast extravasation from left internal iliac artery subjacent to the disrupted left sacroiliac articulation which was subsequently embolized with coil; D, E: Angiography post embolization showed non-opacification of internal iliac artery distal to coil (arrow) with complete disappearance of contrast extravasation. Left external iliac artery showed good opacification; F: Subsequently, right common iliac artery was cannulated which revealed no vascular injury. DSA: Digital subtraction angiography.