Aims and objectives
To retrospectively evaluate our 11-year experience of TAE as a treatment for bleeding after hip surgery.
Methods and materials
We retrospectively evaluated 44 patients (M:F = 17:27; median age = 67.6 years) who underwent TAE in our Institution from 2006 to 2017.
Seventy percentof them underwent total hip arthroplasty,
20% open reduction internal fixation,
8% acetabular revision,
and 2% external fixation.
Preoperative multidetector computed tomography angiography (MDCTA) was used in 24 (53%) cases and showed arterial extravasation in 12 of them (50%).
Thirty-one TAEs (68.8%) were performed within a week from surgery;...
Bleedings were stopped in all cases and were most frequently sustained from branches of the deep femoral artery (n = 19).
Permanent embolization agents (microparticles,
n-2-butyl-cyanoacrylate) were used in 84.5% of cases; temporary agents (gelfoam) in 13.5%; only once,
an endoprosthesis was deployed.
One procedure was complicated by dissection of a small artery without consequences.
Hospital discharge occurred on average 19 days post-TAE (range = 3-104 days; median = 16.5 days)....
In our experience TAE is safe and effective in stopping bleeding of the hip region and should be performed early,
to avoid irreversible ischemic damage.
MDCTA can be used to confirm bleeding in doubtful cases.
Several embolic materials can be used,
each one offering different advantages.
Low complication and mortality rates were observed.
Authors: Ezio Lanza 1 ,
MD Riccardo Muglia 2, MD - corresponding author- email@example.com Marco Tramarin 1 ,
MD Dario Poretti 1 ,
MD Luca Balzarini 1 ,
MD Luigi Solbiati 2 ,
Prof Vittorio Pedicini 1 ,
Humanitas Research Hospital Department of Diagnostic and Interventional Radiology Via A.
Manzoni 56 20089 Rozzano – Milano tel.
0039 02 8224 7383 – fax.
0039 02 8224 6666 2.
Humanitas University Residency program in Radiology Via Rita Levi Montalcini 4,20090Pieve Emanuele –...
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