Endovascular occlusive intervention in the management of trauma.
This report summarizes a 10-year experience (1978-1987) in a metropolitan hospital with 102 patients sustaining a variety of complex or inaccessible vascular injuries. Management included the application of occlusive interventional arteriographic techniques. Regional injuries included head and neck (56%), trunk (13%), and extremity (32%). Techniques of vascular occlusion were often performed in conjunction with the initial arteriographic evaluation and were comprised of particulate embolization (42%), placement of mechanical devices (36%), or tissue adhesives (1%), or a combination (21%). There were no deaths in this series and the only complications included four cases of dislodgement of the occlusive agent. We demonstrate that endovascular occlusion is a useful, safe and efficacious procedure in selected patients with complex, inaccessible or life-threatening vascular trauma.
Klein
S R
SR
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509.
Mehringer
C M
CM
Bongard
F S
FS
D000293:Adolescent; D000328:Adult; D000792:Angiography; D001158:Arteries / Q000293:injuries*; D001164:Arteriovenous Fistula / Q000628:therapy; D002404:Catheterization; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged