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Role of Intercostal Artery Embolization in Management of Traumatic Hemothorax

Rahul Lohan1, Kheng Song Leow2, Marc Weijie Ong3

  • 1Departments of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore 768828, Singapore.

Journal of Emergencies, Trauma, and Shock
|July 29, 2021
PubMed

Intercostal artery bleeding from trauma can result in potentially fatal massive hemothorax. Traumatic hemothorax has traditionally been treated with tube thoracostomy, video-assisted thoracoscopic surgery, or thoracotomy. Transcatheter arterial embolization (TAE), a well-established treatment option for a variety of acute hemorrhage is not widely practiced for the management of traumatic hemothorax. We present 2 cases of delayed massive hemothorax following chest trauma which were successfully managed by transarterial embolization of intercostal arteries. The published studies are reviewed and a systematic approach to the selection of patients for TAE versus emergency thoracotomy is proposed.

Keywords:
Chest traumahemothoraxintercostal arterytransarterial embolization

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