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Thorac Cardiovasc Surg 2022; 70(08): 652-657
DOI: 10.1055/s-0041-1735827
Original Thoracic

Emergency Transcatheter Arterial Embolization for Acute Mediastinal Hemorrhage

Gonghao Ling
1   Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China
,
Jun Zhou
1   Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China
,
Xun Ding
1   Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China
,
Qingyun Long
1   Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, China
› Author Affiliations Funding Not applicable.
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Abstract

Purpose The aim of this study was to investigate the application value of transcatheter arterial embolization (TAE) for mediastinal hemorrhage.

Materials and Methods The study retrospectively analyzed the status of TAE treatment in 13 patients with mediastinal hemorrhage.

Results Aortic angiography and bleeding artery angiography showed that the bleeding in 13 mediastinal hemorrhage patients, respectively, originated from intercostal artery, esophageal artery, or bronchial artery. All patients were embolized with gelatin sponge and (or) polyvinyl alcohol particles. Chest computed tomography scan found that all 13 patients showed reduced range of mediastinal hematoma after TAE.

Conclusion TAE has the advantages of reduced trauma, rapid and direct hemostasis, and solid therapeutic effects in the treatment of mediastinal hemorrhage.

Keyword

imaging - mediastinal hemorrhage - transcatheter arterial embolization - artery/arteries

Ethical Approval and Consent to Participate

For this retrospective study, ethics approval is not required. Written informed consent was obtained from the patient for publication and any accompanying images.


Availability of Data and Material

Data sharing is not applicable to this article, as no datasets were generated or analyzed during the current study.


Competing Interests

The authors declare that they have no competing interests.


Authors' Contributions

LQY and DX analyzed and interpreted the patient data. LGH made efforts in retrieving data and drafted the manuscript, and ZJ substantively revised it. All authors read and approved the final manuscript. Jun Zhou and Qingyun Long made equal contributions to this article.




Publication History

Received: 31 January 2021

Accepted: 24 June 2021

Article published online:
31 December 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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