Radiological Findings and Interventions for Iatrogenic Vascular Injuries
Journal of the Korean Radiological Society
;
: 813-818, 1998.
Article
in Korean
| WPRIM
| ID: wpr-125341
ABSTRACT
PURPOSE:
To evaluate the radiological findings and effectiveness of radiological interventions in patientswith iatrogenic vascular injuries. MATERIALS ANDMETHODS:
We analyzed 50 patients with iatrogenic vascularinjuries treated with radiological intervention. The causes of injuries were surgery(n=20), cardiovascularintervention(n=15), non-cardiovascular radiological intervention(n=14), and endoscopic intervention(n=1). Theinjury had resulted in hemorrhage in 35 cases. The iliac and/or femoral, hepatic, and renal vessels were commonlyinjured. Angiography, ultrasonography with Doppler examination, CT, and CT angiography were performed to diagnosevascular injuries and guide the radiological intervention. The mean follow-up period was 23 months and in 16 caseswas more than one year.RESULTS:
The major radiological findings were extravasation, pseudoaneurysm,arteriovenous shunt, or vascular obstruction. To control these lesions, radiological interventions such asembolization(n=36), local urokinase administration, stent insertion, foreign body removal, ultrasonography-guidedcompression, or stent-graft insertion were performed. The clinical problems were immediately controlled by thesingle trials of radiological interventions and did not recur in 40 cases (80%).CONCLUSION:
Radiologicalexaminations and interventions are useful in cases with iatrogenic vascular injuries.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Angiography
/
Urokinase-Type Plasminogen Activator
/
Stents
/
Follow-Up Studies
/
Ultrasonography
/
Vascular System Injuries
/
Foreign Bodies
/
Hemorrhage
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1998
Type:
Article
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