A case report; Damage Control Transcatheter Arterial Embolization was Very Effective for Massive Hemorrhage due to Rupture of the Axillary Artery from Blunt Extremity Trauma

DOI
  • Morimoto Kohei
    Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine Department of Radiology, National Hospital Organization Disaster Medical Center
  • Hattori Takayuki
    Department of Radiology, National Hospital Organization Disaster Medical Center
  • Uejima Iwao
    Department of Radiology, National Hospital Organization Disaster Medical Center
  • Kiryu Nobuaki
    Department of Emergency and Critical Care Medicine, National Hospital Organization Disaster Medical Center
  • Niino Tetsuya
    Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center
  • Matsumoto Junichi
    Department of Emergency and Critical Care Medicine, St Marianna University School of Medicine, Department of Radiology, St Marianna University Yokohama Seibu Hospital
  • Ono Shuichi
    Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine

Bibliographic Information

Other Title
  • ダメージコントロールとしての経カテーテル的動脈塞栓術が有用であった外傷性腋窩動脈破裂の１例

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Description

A woman in her 80s was suffering from blunt right upper extremity trauma with fracture of the surgical neck of the humerus. She was transported to our hospital in shock, and rupture of the main trunk of the axillary artery was diagnosed by whole body contrast CT examination. The medical examination revealed hemodynamic instability, and we decided to perform transcatheter arterial embolization. With interventional radiology, bleeding was well controlled and her general condition improved. Therefore, revascularization surgery could be performed successfully and she recovered without loss of her upper extremity.<BR>Limb fracture is frequently encountered in emergency care, but vascular trauma with fracture is uncommon, and rupture is very rare. When the main trunk of an extremity artery is ruptured, the patient's life might be threatened by massive hemorrhage. In the emergency setting, interventional radiology is very useful for hemostatic control, but the procedure should be completed as quickly as possible before the patient's condition deteriorates further. In this context, radiologists should be knowledgeable about the concept of damage control intervention.

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Details 詳細情報について

  • CRID
    1390001204435207936
  • NII Article ID
    130004559200
  • DOI
    10.11407/ivr.25.483
  • ISSN
    21856451
    13404520
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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