Embolization of Isolated Lumbar Artery Injuries in Trauma Patients

Journal Article · Thu Dec 15 04:00:00 EST 2005 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0117-7· OSTI ID:21091330

Hinrichs, Clay R; Hubbi, Basil; Doddakashi, Satish; Bahramipour, Philip ^[1]; Schubert, Johanna ^[2]

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1. New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Section of Vascular and Interventional, Department of Radiology (United States)
2. Memorial Sloan-Kettering Cancer Center, Interventional Radiology and Image Guided Therapies (United States)

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.

• OSTI ID: 21091330
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 28; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
ARTERIES
BIOMEDICAL RADIOGRAPHY
HEMORRHAGE
INJURIES
PATIENTS
REVIEWS