[Embolization of life-threatening intercostal hemorrhaging in a severely injured patient: a rarity in trauma care].
Transarterial embolization of ruptured intercostal arteries due to massive bleeding represents an infrequent indication in severely injured patients. The current literature shows isolated case descriptions but no clinical trials exist. In the case depicted here embolization is represented as a form of therapy after haemorrhagic shock caused by a ruptured intercostal artery. The embolization carried out led to an immediate cessation of bleeding. The vital signs returned to normal immediately after the procedure and surgical intervention could be avoided. The course of the disease represented in the following shows the effectiveness of this type of treatment not only for bleeding due to pelvic fractures and abdominal injuries, but also for isolated arterial bleeding in other body regions.
Hussmann
B
B
Klinik für Unfallchirurgie, Universitätsklinikum Essen, Essen, Deutschland. bjoern.hussmann@web.de
Taeger
G
G
Wanke
I
I
Waydhas
C
C
Schoch
B
B
Nast-Kolb
D
D
Lendemans
S
S
D000328:Adult; D000792:Angiography; D001158:Arteries / Q000293:injuries*; D001803:Blood Transfusion; D002081:Buttocks / Q000098:blood supply; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D007366:Intercostal Muscles / Q000098:blood supply*; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000628:therapy*; D012151:Resuscitation; D012253:Rib Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D012421:Rupture; D012771:Shock, Hemorrhagic / Q000000981:diagnostic imaging / Q000628:therapy*; D013898:Thoracic Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*