Fig. 2

Transcatheter arterial embolization for the pelvic fracture. The contrast media extravasation ofthe internal iliac artery area is clear in computed tomography. First, the aortic occlusion catheter was inserted from the left femoral artery (arrowheads) and was embolized with a gelatin sponge from the origin portion of the bilateral internal iliac artery while the aorta was occluded at the first lumbar vertebra level. a Embolization of the lumbar artery and middle sacral artery was additionally performed and angiography from the sheath reinserted to the left femoral artery presented re-bleeding (arrow). b As it was difficult to arrest hemorrhage with a gelatin sponge, hemorrhage was arrested by embolizing additionally with n-butyl-2-cyanoacrylate (c and d)