J Korean Radiol Soc.
2005 Sep;53(3):169-173. 10.3348/jkrs.2005.53.3.169.
Transarterial Embolization of Acute Intercostal Artery Bleeding
- Affiliations
-
- 1Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. jaeikbae@naver.com
- 2Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 3Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.
- 4Department of Radiology, Dong-A University College of Medicine, Busan, Korea.
- 5Department of Radiology, Dongsan Medical Center, Kyimyung University School of Medicine, Daegu, Korea.
- KMID: 2302568
- DOI: http://doi.org/10.3348/jkrs.2005.53.3.169
Abstract
- PURPOSE
To report our experiences of transarterial embolization for acute intercostal artery bleeding.
MATERIALS AND METHODS
A retrospectively analysis of the causes, clinical manifestations, angiographic findings and transarterial embolization technique in 8 patients with acute intercostal artery bleeding, with a review of the anatomical basis.
RESULTS
The causes of intercostal artery bleeding were iatrogenic and traumatic in 88 and 12% of cases, respectively. Active bleeding from the collateral intercostal or posterior intercostal arteries was angiographically demonstrated in 75 and 25% of cases, respectively. Transarterial embolization successfully achieved hemostasis in all cases. However, two patient with hypovolemic shock expired due to a massive hemothorax, despite successful transarterial embolization.
CONCLUSION
Intercostal access should be performed through the middle of the intercostal space to avoid injury to the collateral intercostal artery. Transarterial embolization is an effective method for the control of intercostal artery bleeding.
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