Document Detail


Endovascular management of life-threatening retroperitoneal bleeding.
MedLine Citation:
PMID:  18796028     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate efficiency of embolotherapy in management of retroperitoneal bleedings. METHODS: A total of 16 patients with retroperitoneal bleeding who underwent angiography followed by transcatheter embolization within a 4-year period in a single centre were reviewed retrospectively. Electronic charts as well as procedural reports were reviewed to assess immediate angiographic findings and results of embolization. RESULTS: Computed tomography was carried out in eight patients. All computed tomography scans showed retroperitoneal haematoma. In addition, contrast material extravasation consistent with active bleeding was seen in two patients and pseudoaneurysm in one. In the remaining eight patients, diagnosis of retroperitoneal bleeding was established based on combined ultrasound and clinical findings. The technical success rate for selective embolotherapy was 100%. Five of these 16 patients (three women and 13 men) had lumbar artery injury; 10 patients were associated with renal artery injury and one had bilateral internal iliac artery injury. Angiography showed active extravasation, pseudoaneurysm and arteriovenous fistula. For embolization, coils were used in six patients and N-butyl-2-cyanoacrylate in the remaining 10 patients. Four patients died within 1 month of embolotherapy. CONCLUSION: Transcatheter embolotherapy appears to be a life-saving, safe and effective treatment for retroperitoneal bleedings that may be carried out in emergency situations in haemodynamically unstable patients.
Authors:
Erhan Akpinar; Bora Peynircioglu; Baris Turkbey; Barbaros E Cil; Ferhun Balkanci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  78     ISSN:  1445-2197     ISO Abbreviation:  ANZ J Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-09-17     Completed Date:  2008-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  683-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Angiography
Arteries / injuries*
Child
Embolization, Therapeutic* / methods
Female
Hematoma / therapy*
Hemorrhage / therapy*
Humans
Male
Middle Aged
Retroperitoneal Space*
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
ANZ J Surg. 2008 Aug;78(8):644-5   [PMID:  18796018 ]

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