- 경피경관 동맥색전술을 이용한 외상성 출혈의 치료
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- 대한방사선의학회지
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- 1989년|25권 2호|pp.184-193 (10 pages)
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Angiography is essential for the detection of bleeding vessels in traumatic vascular injury. Immediatly after the diagnosis. transcatheter embolization can be performed for the control of bleeding effectively & easily with proper use of embolic materials. Transcatheter embolization is believed to be the treatment of choice when emergency control is needed where surgical approach is difficult and in those who are poor candidate for surgery. We have tried bleeding control in 18 cases of trauma over receut 4 years. The results were as follows; 1. Causes of bledeing (cases); Blunt or penetrating trauma(10) latrogenic trauma (8) (Postoperative (5) Needle biopsy(2) Percutaneous hepatic procedure(1) 2. Embolized vessels: Renal artery branches (8) Hepatic artery branches(2) Arteries supplying chest wall (2) External carotid artery branches(3) Internal carotid artery (1) Circumflex humeral artery (1) Internal iliac artery branches(1). 3. Embolic agents: Gelfoam cubes(16) Stainless steel coils (3) Detachable latex balloon(1). 4. Successful bleeding control was achieved in 17 cases and reduction of the amount of bleeding in one case without significant complications.