Display options
Cite
Tsurukiri J, Ohta S, Hoshiai A, et al. High-grade traumatic torso visceral injury with hemodynamic instability: effectiveness of transarterial embolization using n-butyl cyanoacrylate. Acute Med Surg. 2017;4(2):145-151doi: 10.1002/ams2.264.
Tsurukiri, J., Ohta, S., Hoshiai, A., Sano, H., Okumura, E., Tsubouchi, N., Konishi, H., & Yukioka, T. (2017). High-grade traumatic torso visceral injury with hemodynamic instability: effectiveness of transarterial embolization using n-butyl cyanoacrylate. Acute medicine & surgery, 4(2), 145-151. https://doi.org/10.1002/ams2.264
Tsurukiri, Junya, et al. "High-grade traumatic torso visceral injury with hemodynamic instability: effectiveness of transarterial embolization using n-butyl cyanoacrylate." Acute medicine & surgery vol. 4,2 (2017): 145-151. doi: https://doi.org/10.1002/ams2.264
Tsurukiri J, Ohta S, Hoshiai A, Sano H, Okumura E, Tsubouchi N, Konishi H, Yukioka T. High-grade traumatic torso visceral injury with hemodynamic instability: effectiveness of transarterial embolization using n-butyl cyanoacrylate. Acute Med Surg. 2017 Mar 06;4(2):145-151. doi: 10.1002/ams2.264. eCollection 2017 Apr. PMID: 29123853; PMCID: PMC5667264.
Copy Download .nbib Format: NLM
Share it on

Acute Med Surg. 2017 Mar 06;4(2):145-151. doi: 10.1002/ams2.264. eCollection 2017 Apr.

High-grade traumatic torso visceral injury with hemodynamic instability: effectiveness of transarterial embolization using n-butyl cyanoacrylate.

Acute medicine & surgery

Junya Tsurukiri, Shoichi Ohta, Akira Hoshiai, Hidefumi Sano, Eitaro Okumura, Nobuhiko Tsubouchi, Hiroyuki Konishi, Tetsuo Yukioka

Affiliations

  1. Emergency and Critical Care Medicine Tokyo Medical University Hachioji Medical Center Tokyo Japan.
  2. Emergency and Disaster Medicine Tokyo Medical University Tokyo Japan.

PMID: 29123853 PMCID: PMC5667264 DOI: 10.1002/ams2.264

Abstract

Trauma patients with uncontrolled hemorrhage encountering coagulopathy are often associated with poor outcome. Recently, the concept of damage control interventional radiology, which focuses on "speedy stoppage of bleeding" by interventional radiology among trauma patients with hemodynamic instability and acute traumatic coagulopathy, was proposed as an alternative to damage control surgery. N-butyl cyanoacrylate (NBCA) has been used as a liquid embolic agent in various non-traumatic situations, where it has been shown to have a high technical success rate and low recurrent bleeding rate, especially in patients with coagulopathy. In this case, we treated a young patient with hemodynamic instability caused by a high-grade hepatic injury, who underwent arterial embolization (AE) using NBCA assisted with resuscitative endovascular balloon occlusion of the aorta and achieved successful hemostasis. A review of published works using PUBMED was carried out, and 10 published reports involving 23 trauma patients who underwent AE using NBCA were identified. Among them, only four reports involving five trauma patients with torso visceral injuries were identified. Three of five patients who were hemodynamically unstable underwent AE using NBCA, resulting in the stabilization of hemodynamics. We concluded that AE with resuscitative endovascular balloon occlusion of the aorta as a damage control interventional radiology procedure might be acceptable for the hemodynamically unstable hepatic injury, and NBCA could be one of the effective hemostatic agents for this purpose, in cases of trauma-induced coagulopathy.

Keywords: Catheter‐based technique; coagulopathy; interventional radiology; intra‐aortic balloon occlusion; resuscitative endovascular balloon occlusion of the aorta; shock

References

  1. Diagn Interv Imaging. 2015 Jul-Aug;96(7-8):687-91 - PubMed
  2. J Trauma Acute Care Surg. 2017 Jan;82(1):126-132 - PubMed
  3. Cardiovasc Intervent Radiol. 2010 Dec;33(6):1192-7 - PubMed
  4. Acta Radiol. 2012 May 1;53(4):415-21 - PubMed
  5. Cardiovasc Intervent Radiol. 2008 May-Jun;31(3):550-7 - PubMed
  6. J Trauma. 1995 Mar;38(3):323-4 - PubMed
  7. J Vasc Interv Radiol. 2013 Mar;24(3):432-8 - PubMed
  8. World J Emerg Surg. 2015 Nov 24;10:58 - PubMed
  9. Am J Emerg Med. 2016 Sep;34(9):1917.e1-2 - PubMed
  10. J Trauma Acute Care Surg. 2015 Jan;78(1):132-5 - PubMed
  11. J Vasc Interv Radiol. 2007 Feb;18(2):209-16 - PubMed
  12. J Vasc Interv Radiol. 2013 Mar;24(3):422-31 - PubMed
  13. AJR Am J Roentgenol. 2015 Mar;204(3):662-8 - PubMed
  14. Radiol Oncol. 2010 Jun;44(2):103-6 - PubMed
  15. Clin Radiol. 2003 Jul;58(7):560-5 - PubMed
  16. Hiroshima J Med Sci. 2011 Dec;60(4):87-90 - PubMed
  17. PLoS One. 2013 Oct 11;8(10):e77494 - PubMed
  18. J Trauma. 2011 Dec;71(6):1869-72 - PubMed
  19. Diagn Interv Imaging. 2015 Jun;96(6):563-9 - PubMed
  20. J Urol. 1994 Feb;151(2):426-8 - PubMed
  21. J Trauma Acute Care Surg. 2016 Feb;80(2):324-34 - PubMed
  22. Cardiovasc Intervent Radiol. 1996 Jul-Aug;19(4):278-80 - PubMed
  23. Scand J Trauma Resusc Emerg Med. 2016 Feb 09;24:13 - PubMed
  24. J Vasc Interv Radiol. 2011 Nov;22(11):1594-9 - PubMed
  25. J Vasc Interv Radiol. 2009 Sep;20(9):1176-87 - PubMed
  26. J Trauma Acute Care Surg. 2013 May;74(5):1363-6 - PubMed
  27. J Vasc Interv Radiol. 2009 Oct;20(10):1376-9 - PubMed
  28. Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1124-9 - PubMed
  29. J Vasc Interv Radiol. 2007 Oct;18(10 ):1222-6 - PubMed

Publication Types