INTERVENTIONAL RADIOLOGY

Last update: 07/31/2008

 

Interventional emergency embolization for severe pelvic ring fractures with arterial bleeding : Integration into the early clinical treatment algorithm.

Unfallchirurg. 2008 Jul 13. [Epub ahead of print] German.The time until the TAE was started was on average 62 min (25-115) with a duration period of the TAE of 25 min (15-67). Branches of the internal iliac artery were identified as the sole source of bleeding. The success rate of TAE amounted to over 90%.  Interventional TAE represents an effective as well as a fast procedure for hemostasis of arterial bleeding detected on multislice computed tomography in patients with pelvic fractures. If an experienced radiologist on 24-h stand-by is assured and the infrastructure is efficient, this can be performed shortly after hospital admission and therefore should be integrated into the early clinical treatment protocol.

Partial splenic embolization in children with hereditary spherocytosis.

Eur J Haematol. 2007 Nov 19; [Epub ahead of print] Median hemoglobin increased significantly from levels between 7.5 g/dL and 11.65 g/dL before PSE to levels between 8.4 g/dL and 13.35 g/dL after PSE (P = 0.012). Partial splenic embolization appears to be a safe, effective and feasible treatment option for the management of children with moderate to severe HS.

Preoperative Uterine Artery Embolization (PUAE) Before Uterine Fibroid Myomectomy.
Cardiovasc Intervent Radiol. 2007 Jul 10; [Epub ahead of print] Preoperative embolization is associated with minimal intraoperative blood loss. It does not increase the complication rate or impair operative dissection, and improves the chances of performing conservative surgery.

Selective Transcatheter Arterial Embolization for Treatment of Bleeding Complications or Reduction of Tumor Mass of Hepatocellular Adenomas.
Cardiovasc Intervent Radiol. 2007 Jun 29; [Epub ahead of print] Selective transcatheter arterial embolization (TAE) as initial treatment in patients with spontaneous bleeding of hepatocellular adenomas  (HCAs) with or without rupture is effective and will change the need for urgent laparotomy to control bleeding. Selective TAE may also be used as an elective treatment to reduce the tumor mass of larger HCAs.

Temporary partial intra-iliac balloon occlusion for the treatment of acetabulum fracture in a Jehovah's Witness: a case report.
J Orthop Trauma. 2005 Jul;19(6):415-9. Temporary arterial balloon occlusion, also known as an "internal tourniquet," was first reported in 1954 for use in severe penetrating abdominal trauma. It was later used to control basilar artery bleeding and to limit blood loss in Jehovah's Witness patients undergoing revision total hip or knee arthroplasty. This case report documents the successful use of temporary balloon occlusion to minimize blood loss during an open reduction internal fixation of a both-column acetabulum fracture in a Jehovah's Witness patient. The method used for achieving this intra-iliac balloon occlusion is described in detail so that others also may implement this technique.