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CardioVascular and Interventional Radiology

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01-12-2005 | CLINICAL INVESTIGATION

Embolization of Isolated Lumbar Artery Injuries in Trauma Patients

Authors: Constantinos T. Sofocleous, Clay R. Hinrichs, Basil Hubbi, Satish Doddakashi, Philip Bahramipour, Johanna Schubert

Published in: CardioVascular and Interventional Radiology | Issue 6/2005

Abstract

Purpose

The purpose of the study was to evaluate the angiographic findings and results of embolotherapy in the management of lumbar artery trauma.

Methods

All patients with lumbar artery injury who underwent angiography and percutaneous embolization in a state trauma center within a 10-year period were retrospectively reviewed. Radiological information and procedural reports were reviewed to assess immediate angiographic findings and embolization results. Long-term clinical outcome was obtained by communication with the trauma physicians as well as with chart review.

Results

In a 10-year period, 255 trauma patients underwent abdominal aortography. Eleven of these patients (three women and eight men) suffered a lumbar artery injury. Angiography demonstrated active extravasation (in nine) and/or pseudoaneurysm (in four). Successful selective embolization of abnormal vessel(s) was performed in all patients. Coils were used in six patients, particles in one and gelfoam in five patients. Complications included one retroperitoneal abscess, which was treated successfully. One patient returned for embolization of an adjacent lumbar artery due to late pseudoaneurysm formation.

Conclusions

In hemodynamically stable patients, selective embolization is a safe and effective method for immediate control of active extravasation, as well as to prevent future hemorrhage from an injured lumbar artery.

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Title: Embolization of Isolated Lumbar Artery Injuries in Trauma Patients
Authors: Constantinos T. Sofocleous
Clay R. Hinrichs
Basil Hubbi
Satish Doddakashi
Philip Bahramipour
Johanna Schubert
Publication date: 01-12-2005
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-003-0117-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Embolization of Isolated Lumbar Artery Injuries in Trauma Patients

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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