Transarterial Embolization of Acute Intercostal Artery Bleeding.
10.3348/jkrs.2005.53.3.169
- Author:
Jae Ik BAE
1
;
Auh Whan PARK
;
Seon Joo LEE
;
Gi Young KO
;
Hyun Ki YOON
;
Chang Jin YOON
;
Tae Beom SHIN
;
Young Hwan KIM
Author Information
1. Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. jaeikbae@naver.com
- Publication Type:Original Article
- Keywords:
Arteries, therapeutic embolization;
Interventional procedures;
Hemothorax
- MeSH:
Arteries*;
Hemorrhage*;
Hemostasis;
Hemothorax;
Humans;
Retrospective Studies;
Shock
- From:Journal of the Korean Radiological Society
2005;53(3):169-173
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report our experiences of transarterial embolization for acute intercostal artery bleeding. MATERIALS AND METHODS: A retrospectively analysis of the causes, clinical manifestations, angiographic findings and transarterial embolization technique in 8 patients with acute intercostal artery bleeding, with a review of the anatomical basis. RESULTS:The causes of intercostal artery bleeding were iatrogenic and traumatic in 88 and 12% of cases, respectively. Active bleeding from the collateral intercostal or posterior intercostal arteries was angiographically demonstrated in 75 and 25% of cases, respectively. Transarterial embolization successfully achieved hemostasis in all cases. However, two patient with hypovolemic shock expired due to a massive hemothorax, despite successful transarterial embolization. CONCLUSION: Intercostal access should be performed through the middle of the intercostal space to avoid injury to the collateral intercostal artery. Transarterial embolization is an effective method for the control of intercostal artery bleeding.
