Document Detail

Pushable springcoil embolization of pseudoaneurysms caused by gluteal stab injuries.
MedLine Citation:
PMID:  19084366     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To retrospectively review the outcomes of 21 patients with stab wounds to the gluteal region who underwent embolization for pseudoaneurysms causing active bleeding. MATERIALS AND METHODS: Between 1997 and 2007, 3 superior gluteal artery, 2 inferior gluteal artery and 16 deep femoral artery muscular branch pseudoaneurysms detected by digital subtraction angiography were selectively catheterized with diagnostic catheters with hydrophilic coating and embolized with pushable springcoils. 17 of the 21 pseudoaneurysms were located in a distal end of an artery where outflow vessels could not be depicted. The other 4 lesions were side wall injuries which required the placement of coils distal and proximal to the injury site. RESULTS: Embolization was successful in controlling the bleeding in all of the patients. 16 patients required 1 or 2 coils, 4 patients required 3 coils and 1 patient required 5 coils. 2 patients had femoral puncture site hematomas which resolved spontaneously. 2 patients required surgical evacuation of large gluteal hematomas following the embolization because of symptoms second to mass effect. There were no procedure related major complications or mortality. CONCLUSIONS: Our experience demonstrates that pushable coil embolization is a relatively simple, effective and economic method for the embolization of pseudoaneurysms caused by penetrating gluteal injuries. Experimenting with other embolization materials does not seem to be justified.
Koray Guven; Izzet Rozanes; Adem Ucar; Arzu Poyanli; Hakan Yanar; Bulent Acunas
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Publication Detail:
Type:  Journal Article     Date:  2008-12-11
Journal Detail:
Title:  European journal of radiology     Volume:  73     ISSN:  1872-7727     ISO Abbreviation:  Eur J Radiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  391-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2008 Elsevier Ireland Ltd. All rights reserved.
Istanbul University, Istanbul Faculty of Medicine, Department of Radiology, Istanbul, Turkey.
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MeSH Terms
Aneurysm, False / etiology*,  radiography,  therapy*
Buttocks / injuries*,  radiography
Embolization, Therapeutic / instrumentation*,  methods*
Equipment Design
Equipment Failure Analysis
Middle Aged
Retrospective Studies
Treatment Outcome
Wounds, Stab / complications*,  radiography,  therapy*
Young Adult

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