Related Experiment Video

Updated: Jul 24, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
14:58

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Published on: October 20, 2017

Endovascular treatment of hemorrhage after tonsillectomy in children

M J Opatowsky1, J D Browne, W F McGuirt

  • 1Department of Radiological Sciences, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA .

AJNR. American Journal of Neuroradiology
|April 6, 2001
PubMed

Insights

Endovascular therapy offers a vital treatment for dangerous bleeding after tonsillectomy and adenoidectomy. This approach successfully managed hemorrhage in two pediatric cases, showcasing its effectiveness.

Area of Science:

  • Pediatric Otolaryngology
  • Interventional Radiology
  • Vascular Surgery

Background:

  • Hemorrhage following tonsillectomy and adenoidectomy is a serious complication.
  • Traditional management may not always be sufficient for severe bleeding.
  • Endovascular techniques provide minimally invasive treatment options.

Observation:

  • Two pediatric cases of post-tonsillectomy/adenoidectomy hemorrhage were identified.
  • These cases presented with significant bleeding requiring intervention.
  • The patients were managed using endovascular methods.

Findings:

  • Successful endovascular embolization was achieved in both reported cases.
  • Minimally invasive endovascular therapy effectively controlled the life-threatening hemorrhage.
  • The procedures were performed without major complications.

Implications:

  • Endovascular therapy is a crucial adjunct for managing pediatric post-tonsillectomy/adenoidectomy hemorrhage.
  • This minimally invasive approach offers a valuable alternative to open surgery.
  • Further research should explore the long-term outcomes and broader application of endovascular techniques in pediatric surgical bleeding.
Abstract

More Related Videos

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

CO2-Lasertonsillotomy Under Local Anesthesia in Adults05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...