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Pushable springcoil embolization of pseudoaneurysms caused by gluteal stab injuries
- Source :
- European Journal of Radiology. 73:391-395
- Publication Year :
- 2010
- Publisher :
- Elsevier BV, 2010.
-
Abstract
- Purpose To retrospectively review the outcomes of 21 patients with stab wounds to the gluteal region who underwent embolization for pseudoaneurysms causing active bleeding. Materials and methods Between 1997 and 2007, 3 superior gluteal artery, 2 inferior gluteal artery and 16 deep femoral artery muscular branch pseudoaneurysms detected by digital subtraction angiography were selectively catheterized with diagnostic catheters with hydrophilic coating and embolized with pushable springcoils. 17 of the 21 pseudoaneurysms were located in a distal end of an artery where outflow vessels could not be depicted. The other 4 lesions were side wall injuries which required the placement of coils distal and proximal to the injury site. Results Embolization was successful in controlling the bleeding in all of the patients. 16 patients required 1 or 2 coils, 4 patients required 3 coils and 1 patient required 5 coils. 2 patients had femoral puncture site hematomas which resolved spontaneously. 2 patients required surgical evacuation of large gluteal hematomas following the embolization because of symptoms second to mass effect. There were no procedure related major complications or mortality. Conclusions Our experience demonstrates that pushable coil embolization is a relatively simple, effective and economic method for the embolization of pseudoaneurysms caused by penetrating gluteal injuries. Experimenting with other embolization materials does not seem to be justified.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Wounds, Stab
Young Adult
Pseudoaneurysm
medicine.artery
Superior gluteal artery
Inferior gluteal artery
medicine
Deep Femoral Artery
Humans
Radiology, Nuclear Medicine and imaging
Embolization
Aged
Retrospective Studies
medicine.diagnostic_test
business.industry
Equipment Design
General Medicine
Digital subtraction angiography
Middle Aged
medicine.disease
Embolization, Therapeutic
Surgery
Equipment Failure Analysis
Radiography
body regions
Treatment Outcome
medicine.anatomical_structure
cardiovascular system
Buttocks
Side arm
Female
Radiology
business
Aneurysm, False
Artery
Subjects
Details
- ISSN :
- 0720048X
- Volume :
- 73
- Database :
- OpenAIRE
- Journal :
- European Journal of Radiology
- Accession number :
- edsair.doi.dedup.....d4c8926a3a86e56b9b901b0cae28b075