Transcatheter arterial embolization for external iliac artery hemorrhage associated with infection in postoperative pelvic malignancy.
Transcatheter arterial embolization was attempted for external iliac artery (EIA) hemorrhage in five patients with wound infection after pelvic malignant tumor surgery. To prevent distal migration of coils and to preserve distal branches of the EIA, the entire weakened artery was occluded with use of coils via a bilateral femoral artery approach with balloon occlusion of the distal side. The success rate was 100%. No limb loss was observed immediately after embolization. This method can prevent distal migration of coils and preserve branches that can be collaterals to the femoral artery, and as such it can be used to embolize an adequate portion of the affected artery.
Inaba
Yoshitaka
Y
Department of Diagnostic and Interventional Radiology, Aichi Cancer Center, 1-1 Kanokoden Chikusa-ku, Nagoya 464-8681, Japan. 105824@aichi-cc.jp
Arai
Yasuaki
Y
Ino
Shinichi
S
Matsueda
Kiyoshi
K
Aramaki
Takeshi
T
Takaki
Haruyuki
H
D000038:Abscess / Q000150:complications; D000328:Adult; D000368:Aged; D021721:Balloon Occlusion / Q000295:instrumentation; D002406:Catheterization, Peripheral; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000628:therapy*; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000150:complications*; D016896:Treatment Outcome