J Korean Radiol Soc.
1989 Apr;25(2):184-193. 10.3348/jkrs.1989.25.2.184.
Transcatheter arterial embolization for traumatic bleeding control
- KMID: 2359117
- DOI: http://doi.org/10.3348/jkrs.1989.25.2.184
Abstract
- Angiogahy is essential for the detction of bleeding vessels in traumatic vascular injury. Immediatly after thediagnosis, transcatheter embolization can be performed for the control of bleeding effectively & easily withproper use of embolic materials. Transcatheter embolization is believed to be the treatment of choice whenemergency control is needed, where surgical approach is difficult and in those who are poor candidate for surgery. We have tried bleeding control in 18 cases of trauma over recent 4 years. The results were as follows; 1. Causesof bleeding (cases): Blunt or penetrating trauma(10), latrogenic trauma(8), Postoperative (5), Needle biopsy (2), Percutaneous hepatic procedudre(1) 2. Embolized vessels: Renal artery branches (8), Hepatic artery branches (2),Arteries supplying chest wall (2), External carotid artery branches(3), Internal carotid artery(1). Circumflexhumeral artery(1), Internal iliac artery branches(1). 3. Embolic agents: Gelfoam cubes (16), Stainless steel coils(3), Detachable latex balloon(1). bleeding in one case without significant complications.
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