Embolization of isolated lumbar artery injuries in trauma patients Journal Article
| Authors: | Sofocleous, C. T.; Hinrichs, C. R.; Hubbi, B.; Doddakashi, S.; Bahramipour, P.; Schubert, J. |
| Article Title: | Embolization of isolated lumbar artery injuries in trauma patients |
| Abstract: | Purpose: The purpose of the study was to evaluate the angiographic findings and results of embolotherapy in the management of lumbar artery trauma. Methods: All patients with lumbar artery injury who underwent angiography and percutaneous embolization in a state trauma center within a 10-year period were retrospectively reviewed. Radiological information and procedural reports were reviewed to assess immediate angiographic findings and embolization results. Long-term clinical outcome was obtained by communication with the trauma physicians as well as with chart review. Results: In a 10-year period, 255 trauma patients underwent abdominal aortography. Eleven of these patients (three women and eight men) suffered a lumbar artery injury. Angiography demonstrated active extravasation (in nine) and/or pseudoaneurysm (in four). Successful selective embolization of abnormal vessel(s) was performed in all patients. Coils were used in six patients, particles in one and gelfoam in five patients. Complications included one retroperitoneal abscess, which was treated successfully. One patient returned for embolization of an adjacent lumbar artery due to late pseudoaneurysm formation. Conclusion: In hemodynamically stable patients, selective embolization is a safe and effective method for immediate control of active extravasation, as well as to prevent future hemorrhage from an injured lumbar artery. © Springer Science+Business Media, Inc. 2005. |
| Keywords: | adolescent; adult; clinical article; treatment outcome; aged; middle aged; retrospective studies; artificial embolism; tomography, x-ray computed; retrospective study; radiology; long term care; arteriography; physician; embolization, therapeutic; angiography; emergency health service; artery injury; gelfoam; lumbar vertebrae; embolization; retroperitoneal abscess; arteries; aneurysm; coil embolization; false aneurysm; trauma; extravasation; aneurysm, false; aorta, abdominal; arterial bleeding; lumbar artery; aortography; radiological procedures; extravasation of diagnostic and therapeutic materials |
| Journal Title: | CardioVascular and Interventional Radiology |
| Volume: | 28 |
| Issue: | 6 |
| ISSN: | 0174-1551 |
| Publisher: | Springer |
| Date Published: | 2005-11-01 |
| Start Page: | 730 |
| End Page: | 735 |
| Language: | English |
| DOI: | 10.1007/s00270-003-0117-7 |
| PUBMED: | 16184334 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 19" - "Export Date: 24 October 2012" - "CODEN: CARAD" - "Source: Scopus" |
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