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Spontaneous extraperitoneal hemorrhage with hemodynamic collapse in patients undergoing anticoagulation: management

M J Sharafuddin1, K J Andresen, S Sun

  • 1Department of Radiology, University of Iowa College of Medicine, Iowa City, Iowa, USA. melsharafuddin@uiowa.edu

Journal of Vascular and Interventional Radiology : JVIR
|October 5, 2001
PubMed

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 SEH-associated hemodynamic collapse.

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