Journal List > J Korean Radiol Soc > v.53(3) > 1004123

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Bae, Park, Lee, Ko, Yoon, Yoon, Shin, and Kim: Transarterial Embolization of Acute Intercostal Artery Bleeding
Original Article

Journal of the Korean Radiological Society 2005; 53(3): 169-173.

Published online: 30 September 2005

DOI: https://doi.org/10.3348/jkrs.2005.53.3.169

Transarterial Embolization of Acute Intercostal Artery Bleeding

Jae Ik Bae, Auh Whan Park, Seon Joo Lee, Gi Young Ko, Hyun Ki Yoon, Chang Jin Yoon, Tae Beom Shin, Young Hwan Kim

Department of Radiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea.

Department of Radiology, Dong-A University College of Medicine, Busan, Korea.

Department of Radiology, Dongsan Medical Center, Kyimyung University School of Medicine, Daegu, Korea.

Corresponding author: jaeikbae@naver.com

Copyright © 2005 by The Korean Society of Radiology

Abstract

Purpose

To report our experiences of transarterial embolization for acute intercostal artery bleeding.

Materials and Methods

A retrospectively analysis of the causes, clinical manifestations, angiographic findings and transarterial embolization technique in 8 patients with acute intercostal artery bleeding, with a review of the anatomical basis.

Results

The causes of intercostal artery bleeding were iatrogenic and traumatic in 88 and 12% of cases, respectively. Active bleeding from the collateral intercostal or posterior intercostal arteries was angiographically demonstrated in 75 and 25% of cases, respectively. Transarterial embolization successfully achieved hemostasis in all cases. However, two patient with hypovolemic shock expired due to a massive hemothorax, despite successful transarterial embolization.

Conclusion

Intercostal access should be performed through the middle of the intercostal space to avoid injury to the collateral intercostal artery. Transarterial embolization is an effective method for the control of intercostal artery bleeding.

Keywords: Arteries, therapeutic embolization, Interventional procedures, Hemothorax

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