Transcatheter arterial embolization (TAE) may be used to control pelvic hemorrhage following pelvic fracture and complex pelvic trauma. Unfortunately it may be associated with a number of complications.
Complications of transcatheter arterial embolization:
(1) gluteal necrosis (muscle and skin)
(2) rectal necrosis
(3) lower limb paresis
(4) lower limb sensory loss
(5) bladder necrosis
(6) impotence (in males)
(7) ischemic necrosis of the femoral head
Risk factors for complications:
(1) massive polytrauma
(2) nonselective embolization
Diagnosis of a complication requires exclusion of trauma-related explanations and pre-existing issues.
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