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- Title
Transcatheter arterial embolization in abdominal blunt trauma with active mesenteric bleeding: case series and review of literature.
- Authors
Bertelli, Riccardo; Fugazzola, Paola; Zaghi, Claudia; Taioli, Andrea; Giampalma, Emanuela; Agnoletti, Vanni; Ansaloni, Luca
- Abstract
Purpose: To evaluate the safety and effectiveness of transcatheter arterial embolization (TAE) in treating traumatic mesenteric injuries with active bleeding, to report the outcome in a case series, and to compare the results with the existing data. Methods: All consecutive patients with active mesenteric bleeding due to blunt abdominal trauma referred to a level-one Trauma Center and treated by TAE were included; the related demographic and medical data were retrospectively reported. A literature review was conducted; all reported cases were collected and analysed together with our case series. A univariate analysis of risk factors for TAE failure, bowel necrosis, complication and length of stay was performed. Results: Four consecutive patients were included. Technical success was 100%. One patient developed colon ischemia after the procedure and underwent surgical treatment; another presented transient mild renal failure and late respiratory failure. No 30-day mortality was reported. These results are consistent with those reported in literature. The analysis of our cases together with case collected from literature resulted in a case series of 25 patients. Univariate analysis showed colon as site of bleeding as a significant risk factor for bowel necrosis and older age as a significant risk factor for longer length of stay. TAE failure was not significantly associated neither with a higher complication rate nor with a higher length of stay. Conclusion: TAE is a safe and effective procedure to control mesenteric bleeding, thus should be considered, in selected cases and in appropriate setting, as an alternative to emergency surgery.
- Subjects
THERAPEUTIC embolization; BLUNT trauma; LITERATURE reviews; MESENTERIC ischemia; SURGICAL emergencies; HEMORRHAGE
- Publication
Emergency Radiology, 2021, Vol 28, Issue 1, p55
- ISSN
1070-3004
- Publication type
Article
- DOI
10.1007/s10140-020-01831-z