Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Ir J Med Sci. 2010 Sep;179(3):385-91. doi: 10.1007/s11845-009-0400-y. Epub 2009 Jul 26.
The purpose of this study was to review indications, source of haemorrhage, method of embolisation and clinical outcome in patients referred to Interventional Radiology for the emergency management of acute arterial haemorrhage.
Retrospective review of patients undergoing emergency percutaneous embolisation over 4 years. Clinical details, computed tomographic findings, embolisation procedure details and clinical outcome are outlined.
Patients (n = 41) were included with various clinical indications for embolisation [haemoptysis (n = 8), iatrogenic (n = 7), traumatic pseudoaneurysm (n = 3), retroperitoneal bleed (n = 3), GI bleed (n = 6), splenic rupture (n = 1), renal laceration (n = 1), epistaxis (n = 12)]. Embolisation material consisted of coils, embospheres, glue, and covered stents. Technical success was achieved in 100% of cases. One patient died 2 days after embolisation secondary to myocardial infarction.
Emergency arterial embolisation is a potentially life-saving treatment. Although it is technically challenging, indications are becoming increasingly varied and outcomes are more successful because of the availability of microcatheters and effective embolisation materials.
本研究旨在回顾因急性动脉出血而接受介入放射学紧急治疗的患者的适应证、出血源、栓塞方法和临床结果。
对 4 年来接受紧急经皮栓塞治疗的患者进行回顾性分析。概述了临床详细信息、计算机断层扫描结果、栓塞程序详细信息和临床结果。
纳入了具有各种栓塞适应证的患者（n=41）[咯血（n=8）、医源性（n=7）、创伤性假性动脉瘤（n=3）、腹膜后出血（n=3）、胃肠道出血（n=6）、脾破裂（n=1）、肾裂伤（n=1）、鼻出血（n=12）]。栓塞材料包括线圈、微球、胶水和覆膜支架。100%的病例均达到了技术上的成功。1 例患者在栓塞后 2 天因心肌梗死死亡。
急性动脉栓塞是一种有潜在救生作用的治疗方法。尽管技术上具有挑战性，但由于微导管和有效栓塞材料的可用性，适应证越来越多样化，结果也更加成功。
