Top

CardioVascular and Interventional Radiology

Published in:

01-04-2012 | Clinical Investigation

Transcatheter Arterial Embolization of Intramuscular Active Hemorrhage with N-Butyl Cyanoacrylate

Authors: Dong Hyun Yoo, Hwan Jun Jae, Hyo-Cheol Kim, Jin Wook Chung, Jae Hyung Park

Published in: CardioVascular and Interventional Radiology | Issue 2/2012

Abstract

Purpose

This study was designed to evaluate the clinical efficacy and safety of transcatheter arterial embolization (TAE) with n-butyl cyanoacrylate (NBCA) for intramuscular active hemorrhage of varied etiologies and anatomic sites.

Methods

Eighteen patients who demonstrated hematoma with pseudoaneurysm and/or active extravasation of contrast media underwent TAE with NBCA. Etiologies of hematoma included trauma, postoperative complication, and coagulopathy (due to underlying disease or anticoagulation therapy). Sites of embolization included chest wall, abdomen wall, retroperitoneum, and extremity. TAE was performed by using 1:3 to 1:5 mixtures of NBCA and iodized oil, either solely (n = 15) or in combination with microcoil (n = 3). The technical and clinical success rate, procedure-related complications, and clinical outcomes were evaluated.

Results

The technical and clinical success rates were 100% and 83% (15/18), respectively. Two patients expired while admitted due to other comorbidities. One patient expired due to recurrent bleeding at another site. There were no serious complications relating to the embolization procedure.

Conclusions

TAE with NBCA is effective and safe treatment modality for intramuscular active hemorrhage.

Sclafani SJ, Cooper R, Shaftan GW et al (1986) Arterial trauma: diagnostic and therapeutic angiography. Radiology 161(1):165–172PubMed

Sharafuddin MJ, Andresen KJ, Sun S et al (2001) Spontaneous extraperitoneal hemorrhage with hemodynamic collapse in patients undergoing anticoagulation: management with selective arterial embolization. J Vasc Interv Radiol 12(10):1231–1234PubMedCrossRef

Rimola J, Perendreu J, Falcó J et al (2007) Percutaneous arterial embolization in the management of rectus sheath hematoma. Am J Roentgenol 188(6):W497–W502CrossRef

n-BCA Trial Investigators (2002) N-butyl cyanoacrylate embolization of cerebral arteriovenous malformations: results of a prospective, randomized, multi-center trial. Am J Neuroradiol 23(5):748–755

Yamakado K, Nakatsuka A, Tanaka N et al (2000) Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylate. J Vasc Interv Radiol 11(1):66–72PubMedCrossRef

Kish JW, Katz MD, Marx MV et al (2004) N-butyl cyanoacrylate embolization for control of acute arterial hemorrhage. J Vasc Interv Radiol 15(7):689–695PubMedCrossRef

Toyoda H, Nakano S, Kumada T et al (1996) Estimation of usefulness of N-butyl-2-cyanoacrylate-lipiodol mixture in transcatheter arterial embolization for urgent control of life-threatening massive bleeding from gastric or duodenal ulcer. J Gastroenterol Hepatol 11(3):252–258PubMedCrossRef

Jae HJ, Chung JW, Jung AY et al (2007) Transcatheter arterial embolization of nonvariceal upper gastrointestinal bleeding with N-butyl cyanoacrylate. Korean J Radiol 8(1):48–56PubMedCrossRef

Lee CW, Liu KL, Wang HP et al (2007) Transcatheter arterial embolization of acute upper gastrointestinal tract bleeding with N-butyl-2-cyanoacrylate. J Vasc Interv Radiol 18(2):209–216PubMedCrossRef

10.

Cromwell LD, Kerber CW (1979) Modification of cyanoacrylate for therapeutic embolization: preliminary experience. AJR Am J Roentgenol 132(5):799–801PubMed

11.

Pollak JS, White RI Jr (2001) The use of cyanoacrylate adhesives in peripheral embolization. J Vasc Interv Radiol 12(8):907–913PubMedCrossRef

12.

Schenker MP, Duszak R Jr, Soulen MC et al (2001) Upper gastrointestinal hemorrhage and transcatheter embolotherapy: clinical and technical factors impacting success and survival. J Vasc Interv Radiol 12(11):1263–1271PubMedCrossRef

13.

Savader SJ, Trerotola SO, Merine DS et al (1992) Hemobilia after percutaneous transhepatic biliary drainage: treatment with transcatheter embolotherapy. J Vasc Interv Radiol 3(2):345–352PubMedCrossRef

14.

de Baere T, Ousehal A, Kuoch V et al (1998) Endovascular management of bleeding iliac artery pseudoaneurysms complicating radiation therapy for pelvic malignancies. AJR Am J Roentgenol 170(2):349–353PubMed

15.

Kim BS, Do HM, Razavi M (2004) N-butyl cyanoacrylate glue embolization of splenic artery aneurysms. J Vasc Interv Radiol 15(1 Pt 1):91–94PubMedCrossRef

16.

Drooz AT, Lewis CA, Allen TE et al (2003) Quality improvement guidelines for percutaneous transcatheter embolization. J Vasc Interv Radiol 14(9 Pt 2):S237–S242PubMed

Title: Transcatheter Arterial Embolization of Intramuscular Active Hemorrhage with N-Butyl Cyanoacrylate
Authors: Dong Hyun Yoo
Hwan Jun Jae
Hyo-Cheol Kim
Jin Wook Chung
Jae Hyung Park
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 2/2012
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-011-0162-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transcatheter Arterial Embolization of Intramuscular Active Hemorrhage with N-Butyl Cyanoacrylate

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2012

Percutaneous Treatment of Peripheral Vascular Malformations in Children: Long-Term Clinical Outcome

The Role of Interventional Radiology in the Management of Abdominal Visceral Artery Aneurysms

Superselective Internal Radiation With Yttrium-90 Microspheres in the Management of a Chemorefractory Testicular Liver Metastasis

Treatment of a Traumatic Celiac Trunk Detachment by Bridging with a Stent Graft

An Approach for Preoperative Planning and Performance of MR-guided Interventions Demonstrated With a Manual Manipulator in a 1.5T MRI Scanner

A Surgeon’s View on Endarterectomy and Stenting in 2011: Lest We Forget, It’s All About Preventing Stroke