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Title: Embolization of Isolated Lumbar Artery Injuries in Trauma Patients

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.

Authors:
; ; ; ;  [1];  [2]
  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)
Publication Date:
OSTI Identifier:
21091330
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 28; Journal Issue: 6; Other Information: DOI: 10.1007/s00270-003-0117-7; Copyright (c) 2005 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; ARTERIES; BIOMEDICAL RADIOGRAPHY; HEMORRHAGE; INJURIES; PATIENTS; REVIEWS

Citation Formats

Sofocleous, Constantinos T., E-mail: constant@pol.net, Hinrichs, Clay R., Hubbi, Basil, Doddakashi, Satish, Bahramipour, Philip, and Schubert, Johanna. Embolization of Isolated Lumbar Artery Injuries in Trauma Patients. United States: N. p., 2005. Web. doi:10.1007/S00270-003-0117-7.
Sofocleous, Constantinos T., E-mail: constant@pol.net, Hinrichs, Clay R., Hubbi, Basil, Doddakashi, Satish, Bahramipour, Philip, & Schubert, Johanna. Embolization of Isolated Lumbar Artery Injuries in Trauma Patients. United States. doi:10.1007/S00270-003-0117-7.
Sofocleous, Constantinos T., E-mail: constant@pol.net, Hinrichs, Clay R., Hubbi, Basil, Doddakashi, Satish, Bahramipour, Philip, and Schubert, Johanna. Thu . "Embolization of Isolated Lumbar Artery Injuries in Trauma Patients". United States. doi:10.1007/S00270-003-0117-7.
@article{osti_21091330,
title = {Embolization of Isolated Lumbar Artery Injuries in Trauma Patients},
author = {Sofocleous, Constantinos T., E-mail: constant@pol.net and Hinrichs, Clay R. and Hubbi, Basil and Doddakashi, Satish and Bahramipour, Philip and Schubert, Johanna},
abstractNote = {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.},
doi = {10.1007/S00270-003-0117-7},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 28,
place = {United States},
year = {Thu Dec 15 00:00:00 EST 2005},
month = {Thu Dec 15 00:00:00 EST 2005}
}