Journal article
Spontaneous Extraperitoneal Hemorrhage with Hemodynamic Collapse in Patients Undergoing Anticoagulation: Management with Selective Arterial Embolization
Journal of vascular and interventional radiology, Vol.12(10), pp.1231-1234
2001
DOI: 10.1016/S1051-0443(07)61686-8
PMID: 11585893
Abstract
The authors report their experience with management of unstable spontaneous extraperitoneal hemorrhage (SEH) with selective transcatheter embolization. Five consecutive patients underwent angiographic evaluation for SEH complicated by hemodynamic collapse while undergoing anticoagulation therapy. Bleeding occurred via one or two lumbar arteries in psoas hematomas. Two abdominal wall hematomas were supplied by the inferior epigastric artery, with additional supply via the deep circumflex iliac artery in one. Microcoil embolization successfully controlled extravasation in all patients, with stabilization of hemodynamic parameters. Four of the five patients survived the immediate postprocedural interval. Selective transcatheter embolization may be a viable life-saving option in SEHassociated hemodynamic collapse.
Details
- Title: Subtitle
- Spontaneous Extraperitoneal Hemorrhage with Hemodynamic Collapse in Patients Undergoing Anticoagulation: Management with Selective Arterial Embolization
- Creators
- Melhem J Sharafuddin - Department of Radiology, University of Iowa College of Medicine, Iowa City, IowaKelli J Andresen - Department of Radiology, University of Iowa College of Medicine, Iowa City, IowaShiliang Sun - Department of Radiology, University of Iowa College of Medicine, Iowa City, IowaElvira Lang - Department of Radiology, University of Iowa College of Medicine, Iowa City, IowaMichael S Stecker - Department of Radiology, University of Iowa College of Medicine, Iowa City, IowaLucy A Wibbenmeyer - Department of Surgery, University of Iowa College of Medicine, Iowa City, Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of vascular and interventional radiology, Vol.12(10), pp.1231-1234
- DOI
- 10.1016/S1051-0443(07)61686-8
- PMID
- 11585893
- NLM abbreviation
- J Vasc Interv Radiol
- ISSN
- 1051-0443
- eISSN
- 1535-7732
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 2001
- Academic Unit
- Radiology; Surgery; Injury Prevention Research Center
- Record Identifier
- 9984051544802771
Metrics
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