Emergent arterial embolization in the treatment of traumatic urinary bleeding
- VernacularTitle:创伤性泌尿系出血的急诊动脉栓塞治疗
- Author:
Jingbo YUAN
;
Zhenhua CHUAI
- Publication Type:Journal Article
- Keywords:
Urinary trauma;
Hemorrhage;
Embolization;
Interventional therapy
- From:Chinese Journal of Minimally Invasive Surgery
2001;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of selective arterial embolization in the emergent treatment of traumatic urinary bleeding. Methods Twenty-seven cases were included in the study. The bleeding arteries were determined according to findings in angiography and embolic agents (gelfoam particles or steel coils) were inserted into the target arteries. Results The hemorrhage was completely controlled in 23 cases after the first embolization and in 2 cases after the second embolization. The embolization failed and was converted to open surgery in 2 cases. Adverse effects after the embolization included 16 cases of fever, 14 cases of local pain with nausea and vomiting, and 1 case of transient buttock pain after the embolization of the internal iliac artery). Conclusions Selective arterial embolization is an effective and mini-invasive option for the management of traumatic urinary bleeding. It takes effect quickly and creates favorable conditions for further treatment.
