Super-selective arterial embolization for the treatment of abdominal wall hematoma
10.3969/j.issn.1008-794X.2025.02.009
- VernacularTitle:超选择动脉栓塞术治疗腹壁血肿
- Author:
Lele YAN
1
;
Jie JI
;
Yuan MA
;
Zizhuo LIU
;
Penghua LV
Author Information
1. 215000 江苏扬州 苏北人民医院介入科
- Keywords:
abdominal wall hematoma;
super-selective arterial embolization;
angiography
- From:
Journal of Interventional Radiology
2025;34(2):165-169
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of super-selective arterial embolization in the treatment of abdominal wall hematoma.Methods The clinical data of 11 patients with abdominal wall hematoma,who were admitted to the Northern Jiangsu People's Hospital of China from January 2018 to December 2023,were retrospectively analyzed.All patients received angiography together with super-selective arterial embolization.The effectiveness of embolization treatment was evaluated by the technical success rate and therapeutic effect,and the safety was evaluated by the incidence of complication.Results The median age of the 11 patients was 70 years,91％were female,with a body mass index(BMI)of 25.1 kg/m2,subcutaneous fat thickness of 2.8 cm,and international normalized ratio(INR)of 1.12.DSA showed that 8 patients(72％)had active bleeding signs,3 patients(28％)had no active bleeding signs.Under DSA,a total of 18 responsible vessels,including 6 lumbar arteries(33.3％),5 deep circumflex iliac arteries(27.7％),5 inferior epigastric arteries(27.7％)and 2 iliolumbar arteries(11.3％),were identified and were treated with embolization.The median time spent for operation was 80 minutes.The technical success rate was 100％and the clinical effective rate was 91％.No operation-related major complications occurred,and the median hospital stay was 6 days.Conclusion For the abdominal wall hematoma in aged,obesity patients with underlying diseases,super-selective arterial embolization is a therapeutic method with high technical success rate,high clinical effective rate and satisfactory clinical safety.
