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Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report
Luca Perrucci1,2,3, Monica Graziano1, Zairo Ferrante1
11Department of Interventional and Diagnostic Radiology, Arcispedale Sant'Anna, Ferrara, Italy.
Patient Safety in Surgery
|May 12, 2020
Summary
Intrathoracic bleeding from the thyrocervical artery is rare in blunt trauma. Endovascular coils are mandatory for embolization to prevent spinal cord injury.
Area of Science:
- Interventional Radiology
- Vascular Surgery
Background:
- Intrathoracic bleeding from the thyrocervical artery is an uncommon complication of blunt trauma.
- Awareness of this risk is crucial for interventional radiologists to prevent adverse outcomes.
Observation:
- A 30-year-old male presented with right pneumo-haemothorax following blunt trauma.
- Contrast-enhanced CT revealed active bleeding supplied by the right thyrocervical artery.
Findings:
- Endovascular embolization using coils was performed to treat the active bleeding.
- A radiculo-medullary branch from the thyrocervical trunk necessitated selective embolization to prevent spinal cord injury, precluding microparticle use.
Implications:
- This case highlights the importance of identifying spinal cord arteries during embolization procedures.
- Endovascular coil embolization is recommended over microparticles in such cases to avoid neurologic complications.
- Post-traumatic cervical bleeding can manifest delayed presentation.
