Characterization and outcomes of iliac vessel injury in the 21st century: a review of the National Trauma Data Bank.
INTRODUCTION
Iliac vessel trauma (IVT) is traditionally associated with high mortality. We evaluated a modern series of patients with IVT to assess current outcomes and endovascular therapy use.


METHODS
We performed a retrospective review of the National Trauma Data Bank. Patients with IVT were stratified by blunt and penetrating mechanism and arterial and venous injury.


RESULTS
In blunt IVT, there was no significant difference in mortality between those with and without pelvic fractures (odds ratio [OR] 0.61, 95% confidence interval [CI] 0.36-1.06). In penetrating IVT, combined arterial and venous IVT was associated with higher mortality (OR 1.70, 95% CI 1.06-2.70) compared to isolated arterial IVT. Isolated venous IVT was associated with lower mortality (OR 0.55, 95% CI 0.35-0.85) compared to isolated arterial IVT. Endovascular stenting was utilized in 11.3% of blunt IVT with pelvic fractures, 6.3% of blunt IVT without pelvic fractures, and 1.8% of penetrating IVT.


CONCLUSION
Iliac Vessel Trauma has significant mortality. Endovascular intervention for IVT is applied sparingly.
['Lauerman|Margaret H|MH|', 'Rybin|Denis|D|', 'Doros|Gheorghe|G|', 'Kalish|Jeffrey|J|', 'Hamburg|Naomi|N|', 'Eberhardt|Robert T|RT|', 'Farber|Alik|A|']
D000328:Adult D016009:Chi-Square Distribution D004621:Embolization, Therapeutic D057510:Endovascular Procedures D005260:Female D050723:Fractures, Bone D006801:Humans D007083:Iliac Artery D007084:Iliac Vein D016015:Logistic Models D008297:Male D008875:Middle Aged D015999:Multivariate Analysis D016017:Odds Ratio D010384:Pelvic Bones D012189:Retrospective Studies D012307:Risk Factors D015607:Stents D013997:Time Factors D016896:Treatment Outcome D014481:United States D057772:Vascular System Injuries D014949:Wounds, Nonpenetrating D014950:Wounds, Penetrating
iliac artery iliac vein vascular trauma