Literature DB >> 19629425

[Embolization of life-threatening intercostal hemorrhaging in a severely injured patient: a rarity in trauma care].

B Hussmann1, G Taeger, I Wanke, C Waydhas, B Schoch, D Nast-Kolb, S Lendemans.   

Abstract

Transarterial embolization of ruptured intercostal arteries due to massive bleeding represents an infrequent indication in severely injured patients. The current literature shows isolated case descriptions but no clinical trials exist. In the case depicted here embolization is represented as a form of therapy after haemorrhagic shock caused by a ruptured intercostal artery. The embolization carried out led to an immediate cessation of bleeding. The vital signs returned to normal immediately after the procedure and surgical intervention could be avoided. The course of the disease represented in the following shows the effectiveness of this type of treatment not only for bleeding due to pelvic fractures and abdominal injuries, but also for isolated arterial bleeding in other body regions.

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Mesh:

Year:  2009        PMID: 19629425     DOI: 10.1007/s00113-009-1638-6

Source DB:  PubMed          Journal:  Unfallchirurg        ISSN: 0177-5537            Impact factor:   1.000


  12 in total

1.  [Intercostal arterial embolization following thoracic trauma].

Authors:  C Wieland-Schneider; H Schild
Journal:  Rofo       Date:  1992-06

2.  A protocol for angiographic embolization in exsanguinating pelvic trauma: a report on 31 patients.

Authors:  Anna Tötterman; Johann Baptist Dormagen; Jan Erik Madsen; Nils-Einar Kløw; Nils Oddvar Skaga; Olav Røise
Journal:  Acta Orthop       Date:  2006-06       Impact factor: 3.717

Review 3.  Review of the pathophysiology and acute management of haemorrhage in pelvic fracture.

Authors:  George S M Dyer; Mark S Vrahas
Journal:  Injury       Date:  2005-11-23       Impact factor: 2.586

4.  [Inferior epigastric artery. An atypical source of bleeding in pelvic fracture].

Authors:  S Bölter; H Haueisen; N Renner; T Roeren
Journal:  Unfallchirurg       Date:  2000-04       Impact factor: 1.000

5.  Treatment for intercostal arterial aneurysm in neurofibromatosis type 1.

Authors:  Isao Matsumoto; Yasuhiko Ohta; Yoshio Tsunezuka; Masaya Tamura; Makoto Oda; Go Watanabe
Journal:  Asian Cardiovasc Thorac Ann       Date:  2007-01

6.  [Angiographic embolization of seriously bleeding vessels as an emergency procedure after traumatic disruption of the symphysis].

Authors:  M Wild; H Weigand; C Steingässer; K Wenda
Journal:  Zentralbl Chir       Date:  2005-04       Impact factor: 0.942

Review 7.  [Angiography and embolisation to control bleeding after blunt injury to the abdomen or pelvis].

Authors:  J C Goslings; O M van Delden
Journal:  Ned Tijdschr Geneeskd       Date:  2007-02-10

8.  Massive hemothorax caused by intercostal artery bleeding: selective embolization may be an alternative to thoracotomy in selected patients.

Authors:  B Kessel; R Alfici; I Ashkenazi; E Risin; E Moisseev; U Soimu; G Bartal
Journal:  Thorac Cardiovasc Surg       Date:  2004-08       Impact factor: 1.827

9.  Crural artery traumatic injuries: treatment with embolization.

Authors:  Jorge E Lopera; Rajeev Suri; Marco Cura; Ghazwan Kroma; Fadi El-Merhi
Journal:  Cardiovasc Intervent Radiol       Date:  2008-02-26       Impact factor: 2.740

10.  Indications for transcatheter arterial embolization in persistent hemothorax caused by blunt trauma.

Authors:  Akiyoshi Hagiwara; Youichi Yanagawa; Naoyuki Kaneko; Akira Takasu; Kousuke Hatanaka; Toshihisa Sakamoto; Yoshiaki Okada
Journal:  J Trauma       Date:  2008-09
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  1 in total

Review 1.  [Emergency trauma room management in severely and most severely injured patients. A multidisciplinary task].

Authors:  B Hußmann; C Waydhas; S Lendemans
Journal:  Med Klin Intensivmed Notfmed       Date:  2012-04       Impact factor: 0.840

  1 in total

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