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Pushable springcoil embolization of pseudoaneurysms caused by gluteal stab injuries
Koray Guven1, Izzet Rozanes, Adem Ucar
1Istanbul University, Istanbul Faculty of Medicine, Department of Radiology, Istanbul, Turkey. korayguven@yahoo.com
European Journal of Radiology
|December 17, 2008
Summary
Coil embolization effectively treated pseudoaneurysms from gluteal stab wounds in 21 patients. This minimally invasive procedure proved safe and economical for managing active bleeding in the gluteal region.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Trauma Management
Background:
- Penetrating gluteal injuries can cause pseudoaneurysms leading to active bleeding.
- Management of these injuries often requires prompt and effective intervention.
Purpose of the Study:
- To review the outcomes of pseudoaneurysm embolization in patients with gluteal stab wounds.
- To evaluate the efficacy and safety of coil embolization for active bleeding control.
Main Methods:
- Retrospective review of 21 patients with gluteal pseudoaneurysms.
- Selective catheterization and embolization using pushable spring coils.
- Digital subtraction angiography used for pseudoaneurysm detection and characterization.
Main Results:
- Successful bleeding control in all 21 patients via coil embolization.
- Varying numbers of coils used, with most requiring 1-2 coils.
- Minor complications included self-resolving hematomas; two patients required surgical evacuation of large hematomas.
Conclusions:
- Pushable coil embolization is a safe, effective, and economical treatment for pseudoaneurysms from gluteal penetrating injuries.
- The technique offers a reliable solution for active bleeding control in this patient cohort.
- Further exploration of alternative embolization materials may not be necessary.
