Ces radiol. 2019, 73(1):13-18 | DOI: 10.55095/CesRadiol2019/003

Endovascular treatment of traumatic bleeding in polytraumatic patientsOriginal article

Marie Černá¹, Martin Kocher¹, Vojtěch Prášil¹, Igor Čižmář²

¹ Radiologická klinika FN a LF UP, Olomouc

² Traumatologická klinika FN a LF UP, Olomouc

Background: The aim of this study is to evaluate the results of endovascular treatment of arterial injury, except aortic trauma, in polytraumatic patients investigated by CT with protocol of polytrauma.

Method: From January 2008 to December 2018 62 polytraumatic patients with arterial injury were treated at our department. There were 42 men and 20 women mean age 43 years, range 3-87 years. Nine patients treated endovascularly had vascular injury of the liver, 30 patients had splenic injury, one patient had trauma of the spleen and the liver, 12 patients had injuries of the internal iliac arteries, and one patient had injured inferior phrenic artery, another one subclavian artery.

Results: The primary clinical success of endovascular treatment of 62 patients and 63 treated injuries was 96.8%. Major complications (recurrent bleeding followed by reintervention) occurred in 2 patients, ie 3% (10% in liver injuries and 3% in spleen injury). No other major complications were found in this patients group.

Conclusion: Endovascular treatment of vascular injury, especially injury of parenchymal organs and pelvis, is a simple, effective method with a very low risk of complications.

Keywords: polytrauma, parenchymal organs, endovascular treatment, embolization

Grants and funding:

Práce byla podpořena prostředky grantu: IGA_LF_2019_002.

Accepted: April 8, 2019; Published: March 1, 2019  Show citation