J Korean Radiol Soc.  1998 May;38(5):813-818. 10.3348/jkrs.1998.38.5.813.

Radiological Findings and Interventions for Iatrogenic Vascular Injuries

• Lee KH
• Chung JW
• Kim TK
• Han SW
• Lee JS
• Park JH
• Kim JH
• Han MC

• KMID: 1831852
• DOI: http://doi.org/10.3348/jkrs.1998.38.5.813

Abstract

PURPOSE: To evaluate the radiological findings and effectiveness of radiological interventions in patientswith iatrogenic vascular injuries.
MATERIALS AND METHODS
We analyzed 50 patients with iatrogenic vascularinjuries treated with radiological intervention. The causes of injuries were surgery(n=20), cardiovascularintervention(n=15), non-cardiovascular radiological intervention(n=14), and endoscopic intervention(n=1). Theinjury had resulted in hemorrhage in 35 cases. The iliac and/or femoral, hepatic, and renal vessels were commonlyinjured. Angiography, ultrasonography with Doppler examination, CT, and CT angiography were performed to diagnosevascular injuries and guide the radiological intervention. The mean follow-up period was 23 months and in 16 caseswas more than one year.
RESULTS
The major radiological findings were extravasation, pseudoaneurysm,arteriovenous shunt, or vascular obstruction. To control these lesions, radiological interventions such asembolization(n=36), local urokinase administration, stent insertion, foreign body removal, ultrasonography-guidedcompression, or stent-graft insertion were performed. The clinical problems were immediately controlled by thesingle trials of radiological interventions and did not recur in 40 cases (80%).
CONCLUSION
Radiologicalexaminations and interventions are useful in cases with iatrogenic vascular injuries.

Keyword

Interventional procedures, utilization; Arteries, injuries; Veins, injuries; Veins, injuries; Interventionalprocedures, complications; Angiography, complications

MeSH Terms

Angiography
Follow-Up Studies
Foreign Bodies
Hemorrhage
Humans
Stents
Ultrasonography
Urokinase-Type Plasminogen Activator
Vascular System Injuries*
Urokinase-Type Plasminogen Activator