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Percutaneous transcatheter embolization for arterial trauma.

T Panetta, S J Sclafani, A S Goldstein

    Journal of Vascular Surgery
    |January 1, 1985
    PubMed
    Summary

    Percutaneous transcatheter embolization is a successful treatment for arterial trauma, with an 82.2% success rate in controlling bleeding from injuries. This minimally invasive technique is a valuable tool for vascular surgeons managing diverse vascular trauma cases.

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    Area of Science:

    • Interventional Radiology
    • Vascular Surgery
    • Trauma Management

    Background:

    • Technological advancements in interventional radiology necessitate vascular surgeons' expertise in percutaneous transcatheter embolization for arterial trauma.
    • Arterial trauma presents complex challenges requiring effective and minimally invasive treatment options.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of percutaneous transcatheter embolization in managing various types of arterial trauma.
    • To assess the success rates of embolization across different arterial injury classifications.

    Main Methods:

    • Prospective study of 328 angiographically confirmed arterial injuries in 242 patients over an 8-year period (1977-1984).
    • Analysis of transcatheter embolizations performed for 107 arterial injuries in 100 patients, utilizing Gelfoam, coils, or other modalities.

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  • Specific evaluation of embolization outcomes in pelvic fractures, arteriovenous fistulas, neck injuries, and postoperative hemorrhage.

    • Main Results:

    • Transcatheter embolization achieved an 82.2% success rate in treating arterial injuries.
    • Bleeding control was achieved in 85.7% of patients with pelvic fractures requiring embolization.
    • Effective management was demonstrated for arteriovenous fistulas (84.2%), penetrating neck arterial injuries (88.9%), and postoperative intra-abdominal hemorrhage (73.3%).

    Conclusions:

    • Percutaneous transcatheter embolization is a highly effective therapeutic option for vascular trauma.
    • This minimally invasive approach offers significant benefits and is a valuable adjunct for vascular surgeons in managing arterial injuries.
    • The study highlights the broad applicability and success of embolization in diverse traumatic vascular conditions.