Balloon catheter tamponade of exsanguinating facial hemorrhage: a case report.
A 42-year-old man sustained a gunshot wound to the frontal process of the left maxilla just lateral to the nasal bone medial to the maxilla that caused profuse hemorrhage. Anterior and posterior nasal packing along with packing of the gunshot wound with Vaseline gauze did not control the hemorrhage. A 28 French (30-cc balloon) Foley catheter was placed directly into the wound, and bleeding stopped immediately upon inflation of the balloon with 30 cc of sterile water. Arteriography identified bleeding from an anterior branch of the maxillary artery that was successfully embolized.
Sing
R F
RF
Department of Surgery, Carolinas Medical Center, Charlotte, North Carolina 28203, USA.
Sue
S R
SR
Reilly
P M
PM
D000328:Adult; D021721:Balloon Occlusion; D002404:Catheterization / Q000379:methods*; D004630:Emergencies; D005151:Facial Injuries / Q000628:therapy*; D006470:Hemorrhage / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D008438:Maxillary Artery / Q000293:injuries; D014948:Wounds, Gunshot / Q000628:therapy*