Document Detail


Comparison of hemostatic durability between N-butyl cyanoacrylate and gelatin sponge particles in transcatheter arterial embolization for acute arterial hemorrhage in a coagulopathic condition in a swine model.
MedLine Citation:
PMID:  20431886     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
This study was designed to compare the efficacy of transcatheter arterial embolization (TAE) with N-butyl cyanoacrylate (NBCA) or gelatin sponge particles (GSP) for acute arterial bleeding in a coagulopathic condition using a swine model. Four healthy swine were divided into two coagulopathic conditions: mild and severe. Five hemorrhages were created in each swine (10 hemorrhages per coagulopathy). Mild coagulopathy was achieved by bloodletting 10% of the total circulatory whole blood and preserving activated clotting time (ACT) less than 200 s (ACT < 200 s state); severe coagulopathy was achieved by bloodletting 30% and preserving ACT > 400 s (ACT > 400-second state). For each state, of ACT < 200 s or ACT > 400 s, TAE was conducted with GSP or NBCA to control five hemorrhages arising from artificially created renal and splenic injuries. Angiography immediately after TAE with GSP or NBCA showed complete occlusion in both coagulopathic conditions. In the ACT < 200-second state, follow-up angiography at 5-30 min after TAE with GSP or NBCA showed no evidence of recurrent hemorrhage. In the ACT > 400-second state, follow-up angiography showed recurrent hemorrhage in four (80%) of the five hemorrhages embolized with GSP and in one (20%) of the five hemorrhages embolized with NBCA. Microscopically, red thrombi were observed densely surrounding GSP in mild coagulopathy but were scarce in severe coagulopathy. In a condition with severe coagulopathy, TAE with NBCA was more effective in durability to cease active arterial bleeding than with GSP.
Authors:
Takafumi Yonemitsu; Nobuyuki Kawai; Morio Sato; Tetsuo Sonomura; Isao Takasaka; Motoki Nakai; Hiroki Minamiguchi; Shinya Sahara; Yasuhiro Iwasaki; Toshio Naka; Masahiro Shinozaki
Related Documents :
2712476 - Enlarging fundal hemorrhage in terson's syndrome.
12964796 - Important arterial supply of the mandible, control of an arterial hemorrhage, and repor...
3929416 - Cisternal and lumbar csf concentration of arachidonate metabolites in vasospasm followi...
6786846 - Perforation and hemorrhage of a non-meckelian ileal diverticulum: preoperative angiogra...
12883516 - Methodology for a rapid protocol to rule out pulmonary embolism in the emergency depart...
22476846 - Variations in feeding arteries of hepatocellular carcinoma located in the left hepatic ...
Publication Detail:
Type:  Journal Article     Date:  2010-04-30
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  33     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1192-7     Citation Subset:  IM    
Affiliation:
Department of Critical Care Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayamashi, Wakayama 641-8510, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A new soluble gelatin sponge for transcatheter hepatic arterial embolization.
Next Document:  Chemotherapeutic activity of silymarin combined with doxorubicin or paclitaxel in sensitive and mult...