Transarterial endovascular treatment in the management of life-threatening intra- and postoperative haemorrhages after otorhinolaryngological surgery
| Autor: | Benjamin Pump, Kai Wilhelm, Horst Urbach, Andreas Schröck, Mark Jakob, Susanne Greschus, K. Strach, Friedrich Bootz, Andreas O. H. Gerstner |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Blood Loss Surgical Postoperative Hemorrhage Young Adult medicine.artery Catheterization Peripheral medicine Humans Embolization Aged Retrospective Studies business.industry Endovascular Procedures Angiography General Medicine Middle Aged Debulking Embolization Therapeutic Otorhinolaryngologic Surgical Procedures Tonsillectomy Surgery Femoral Artery Treatment Outcome Otorhinolaryngology Female Neurosurgery Outcomes research Sphenopalatine artery Complication business Follow-Up Studies |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 269:1677-1683 |
| ISSN: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-011-1823-4 |
| Popis: | Management of life-threatening postsurgical bleeding is complex. If conservative or surgical therapy is demanding, an endovascular treatment can be considered. The goal of this study was to evaluate the outcome of endovascular approaches in the diagnosis and therapy of otherwise intractable postoperative haemorrhages with a study design of outcomes research. Charts of all patients with postsurgical bleedings receiving endovascular treatment were reviewed for clinical outcome, complications, and demographic data. 15 patients were identified. They had rhinosurgery (12/15), tonsillectomy (2/15) or transoral tumour debulking (1/15) prior to the endovascular procedure. In more than 70%, the source of bleeding was directly located angiographically and subsequently superselectively embolized. The remaining patients suffered from post-rhinosurgical epistaxis and underwent a bilateral embolization of the sphenopalatine artery. All bleedings were successfully controlled and no procedure-related complication was noted. In conclusion, endovascular treatment of life-threatening postsurgical haemorrhages should be considered if the source of bleeding is unknown or if surgery is difficult and may result in devastating postoperative complications. |
| Databáze: | OpenAIRE |
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