Skip to main content
SpringerLink
Log in

Emergency percutaneous transcatheter embolisation of acute arterial haemorrhage

  • Original Article
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Aims

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.

Methods

Retrospective review of patients undergoing emergency percutaneous embolisation over 4 years. Clinical details, computed tomographic findings, embolisation procedure details and clinical outcome are outlined.

Results

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.

Conclusion

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Brooks B (1930) The treatment of traumatic arteriovenous fistula. South Med J 23:100–106

    Google Scholar 

  2. Lin SR, LaDow CS Jr, Tatoian JA, Go EB (1974) Angiographic demonstration and silicone pellet embolisation of facial hemangiomas of bone. Neuroradiology 7:201–204

    Article  CAS  PubMed  Google Scholar 

  3. Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145

    Article  CAS  PubMed  Google Scholar 

  4. Zanetti PH, Sherman FE (1972) Experimental evaluation of a tissue adhesive as an agent for the treatment of aneurysms and arteriovenous anomalies. J Neurosurg 36:72–79

    Article  CAS  PubMed  Google Scholar 

  5. Carey LS, Grace DM (1974) The brisk bleed: control by arterial catheterization and Gelfoam plug. J Can Assoc Radiol 25:113–115

    CAS  PubMed  Google Scholar 

  6. Gianturco C, Anderson JH, Wallace S (1975) Mechanical devices for arterial occlusion. Am J Roentgenol Radium Ther Nucl Med 124:428–435

    CAS  PubMed  Google Scholar 

  7. Lookstein RA, Guller J (2004) Embolisation of complex vascular lesions. Mount Sinai J Med 71:17–28

    Google Scholar 

  8. Barben J, Robertson D, Olinsky A, Ditchfield M (2002) Bronchial artery embolisation for haemoptysis in young patients with cystic fibrosis. Radiology 224:124–130

    Article  PubMed  Google Scholar 

  9. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK (2002) Bronchial and nonbronchial systemic artery embolisation for life-threatening haemoptysis: a comprehensive review. Radiographics 22:1395–1409

    Article  PubMed  Google Scholar 

  10. d’Othee BJ, Surapaneni P, Rabkin D, Nasser I, Clouse M (2006) Microcoil embolisation for acute lower gastrointestinal bleeding. Cardiovasc Intervent Radiol 29:49–58

    Article  PubMed  Google Scholar 

  11. Charbonnet P, Toman J, Buhler L et al (2005) Treatment of gastrointestinal hemorrhage. Abdom Imaging 30:719–726

    Article  CAS  PubMed  Google Scholar 

  12. Neuman HB, Zarzaur BL, Meyer AA, Cairns BA, Rich PB (2005) Superselective catheterization and embolisation as first-line therapy for lower gastrointestinal bleeding. Am Surg 71:539–544

    PubMed  Google Scholar 

  13. Velmahos GC, Toutouzas KG, Vassiliu P et al (2002) A prospective study on the safety and efficacy of angiographic embolisation for pelvic and visceral injuries. J Trauma 52:303–308

    Article  Google Scholar 

  14. Gavant ML, Schurr M, Frick PA et al (1997) Predicting clinical outcome of nonsurgical management of blunt splenic injury: using CT to reveal abnormalities of splenic vasculature. AJR Am J Roentgenol 168:207–211

    CAS  PubMed  Google Scholar 

  15. Federle MP, Courcoulas AP, Powell M, Ferris JV, Peitzmann AB (1998) Blunt splenic injury in adults: clinical and CT criteria for management, with emphasis on active extravasation. Radiology 206:137–142

    CAS  PubMed  Google Scholar 

  16. Tew K, Davies RP, Jadun CK, Kew J (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182:427–430

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Academic Radiology, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland

    A. N. Keeling, F. P. McGrath, J. Thornton, P. Brennan & M. J. Lee

Authors
  1. A. N. Keeling
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. P. McGrath
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Thornton
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Brennan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. J. Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. J. Lee.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Keeling, A.N., McGrath, F.P., Thornton, J. et al. Emergency percutaneous transcatheter embolisation of acute arterial haemorrhage. Ir J Med Sci 179, 385–391 (2010). https://doi.org/10.1007/s11845-009-0400-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-009-0400-y

Keywords

Search

Navigation