Figure 2.

Large-vessel temporary embolization. A 15-year old woman pinned under a truck for several hours following a rollover motor vehicle collision. She was hemodynamically unstable (systolic blood pressure <60 mm Hg), and her core temperature was 27°C. She was brought immediately to the angiography suite for embolization of vascular injuries sustained from her pelvic fracture. (A) Digital subtraction angiography from a distal aortic injection demonstrating contrast extravasation from the left internal iliac artery distribution (black arrow). (B) Delayed arterial phase imaging from a selective internal iliac artery injection demonstrating contrast pooling in the left internal iliac artery distribution. A nonselective Gelfoam embolization of the entire left internal iliac artery was performed with a good angiographic and clinical response.