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Massive Hemorrhage Facial Fracture Patient Treated by Embolization
Archives of Craniofacial Surgery ; : 28-30, 2016.
Artigo em Inglês | WPRIM | ID: wpr-220416
ABSTRACT
Major maxillofacial bone injury itself can be life threatening from both cardiovascular point of view, as well as airway obstruction. Significant hemorrhage from facial fracture is an uncommon occurrence, and there is little in the literature to guide the management of these patients. We report a 73-year-old male driver who was transported to our hospital after a motor vehicle collision. The patient was hypotensive and tachycardic at presentation and required active fluid resuscitation and transfusion. The patient was intubated to protect the airway. All external attempts to control the bleeding, from packing to fracture reduction, were unsuccessful. Emergency angiogram revealed the bleeding to originate from terminal branches of the sphenopalatine artery, which were embolized. This was associated with cessation of bleeding and stabilization of vital signs. Despite the age and severity of injury, the patient recovered well and was discharged home at 3 months with full employment. In facial trauma patients with intractable bleeding, transcatheter arterial embolization should be considered early in the course of management to decrease mortality rate.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Ressuscitação / Angiografia / Mortalidade / Veículos Automotores / Obstrução das Vias Respiratórias / Emergências / Emprego / Sinais Vitais / Hemorragia Tipo de estudo: Estudo prognóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Archives of Craniofacial Surgery Ano de publicação: 2016 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Ressuscitação / Angiografia / Mortalidade / Veículos Automotores / Obstrução das Vias Respiratórias / Emergências / Emprego / Sinais Vitais / Hemorragia Tipo de estudo: Estudo prognóstico Limite: Idoso / Humanos / Masculino Idioma: Inglês Revista: Archives of Craniofacial Surgery Ano de publicação: 2016 Tipo de documento: Artigo