scholarly journals Transcatheter arterial embolization as an effective treatment for spontaneous inferior epigastric artery bleeding caused by anticoagulant therapy: Case reports

2020 ◽  
Vol 2 (6) ◽  
pp. 1-1
Author(s):  
Yen-Cheng Chen ◽  
Chien-Lin Huang ◽  
Ming-Chen Shih ◽  
Jaw-Yuan Wang
2011 ◽  
Vol 29 (2) ◽  
pp. 144-147 ◽  
Author(s):  
Takuji Yamagami ◽  
Rika Yoshimatsu ◽  
Osamu Tanaka ◽  
Hiroshi Miura ◽  
Tetsuya Ito ◽  
...  

2021 ◽  
Vol 18 (2) ◽  
Author(s):  
Myung Won Song ◽  
Chan Park ◽  
Hyoung Ook Kim ◽  
Byung Chan Lee

: Inferior epigastric artery (IEA) pseudoaneurysms are well-known postoperative abdominal complications, which often require proper treatment. Treatment options include surgical ligation, transcatheter embolization, and thrombin injection. Here, we report a rare case of an IEA pseudoaneurysm, accompanied by a postsurgical enterocutaneous fistula. The pseudoaneurysm relapsed after transcatheter coil embolization and percutaneous thrombin injection; it was completely occluded by transcatheter arterial embolization using n-butyl-2-cyanoacrylate. The present case shows that a coexisting enterocutaneous fistula can affect the unresponsiveness of patients with IEA pseudoaneurysm to widely accepted treatments, such as coil embolization and thrombin injection, by creating an inflammatory environment. In such cases, repeated therapeutic trials may be required. Transcatheter arterial embolization using n-butyl-2-cyanoacrylate can be a feasible therapeutic option for patients with refractory IEA pseudoaneurysm, accompanied by an enterocutaneous fistula.


CJEM ◽  
2008 ◽  
Vol 10 (04) ◽  
pp. 392-395 ◽  
Author(s):  
Romaric Loffroy ◽  
Jean-Michel Yeguiayan ◽  
Boris Guiu ◽  
Jean-Pierre Cercueil ◽  
Denis Krausé

ABSTRACT Extraperitoneal bleeding from the inferior epigastric artery (IEA) and its branches is a rare complication of blunt pelvic trauma; however, it can result in life-threatening hemorrhage, even in cases of minimally displaced fractures of the pelvic ring. We report the case of a patient who had post-traumatic pelvic hematoma and cardiovascular collapse caused by avulsion of the right pubic branch of the IEA related to undisplaced fractures of the pubic rami. CT scanning followed by angiography showed leakage of contrast from the IEA. Transcatheter arterial embolization was performed to successfully control the hemorrhage. There have been very few previous reports of IEA injury related to stable fractures of the pubic rami successfully treated by transcatheter arterial embolization.


2018 ◽  
Vol 8 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Naoya Toriu ◽  
Junichi Hoshino ◽  
Saeko Kobori ◽  
Sun Watanabe ◽  
Masahiko Oguro ◽  
...  

We encountered 2 patients with symptomatic huge simple renal cysts. In case 1, 4,000 mL of cyst fluid was drained via a catheter, but intracystic bleeding occurred immediately afterwards. Transcatheter arterial embolization (TAE) was performed, after which the bleeding stopped, and cyst drainage was repeated successfully. After 2 years, the total cyst volume was reduced from 11,775 mL to 75.4 mL. In case 2, TAE was performed prophylactically before drainage. Subsequently, 9,400 mL of fluid was removed from multiple cysts. After 1 year, the total cyst volume was reduced from 9,215 mL to 633 mL without bleeding. Based on these 2 cases, prophylactic TAE before drainage may be useful in patients with huge renal cysts.


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