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Title:Transarterial embolization of the external carotid artery in the treatment of life-threatening haemorrhage following blunt maxillofacial trauma
Authors:ID Langel, Črt (Author)
ID Lovrič, Dimitrij (Author)
ID Boneš, Urša (Author)
ID Mirković, Tomislav (Author)
ID Gradišek, Primož (Author)
ID Mrvar Brečko, Anita (Author)
ID Šurlan Popović, Katarina (Author)
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Language:English
Typology:1.02 - Review Article
Organization:Logo OI - Institute of Oncology
Abstract:Background. Severe bleeding after blunt maxillofacial trauma is a rare but life-threatening event. Non-responders to conventional treatment options with surgically inaccessible bleeding points can be treated by transarterial embolization (TAE) of the external carotid artery (ECA) or its branches. Case series on such embolizations are small; considering the relatively high incidence of maxillofacial trauma, the ECA TAE procedure has been hypothesized either underused or underreported. In addition, the literature on the ECA TAE using novel non-adhesive liquid embolization agents is remarkably scarce.Patients and methods. PubMed review was performed to identify the ECA TAE literature in the context of blunt maxillofacial trauma. If available, the location of the ECA injury, the location of embolization, the chosen embolization agent, and efficacy and safety of the TAE were noted for each case. Survival prognostic factors were also reviewed. Additionally, we present an illustrative TAE case using a precipitating hydrophobic injectable liquid (PHIL) to safely and effectively control a massive bleeding originating bilaterally in the ECA territories.Results and conclusions. Based on a review of 205 cases, the efficacy of TAE was 79.4-100%, while the rate of major complications was about 2-4%. Successful TAE haemostasis, Glasgow Coma Scale score >- 8 at presentation, injury severity score <- 32, shock index <- 1.1 before TAE and <- 0.8 after TAE were significantly correlated with higher survival rate. PHIL allowed for fast yet punctilious application, thus saving invaluable time in life-threatening situations while simultaneously diminishing the possibility of inadvertent injection into the ECA-internal carotid artery (ICA) anastomoses.
Keywords:maxillofacial trauma, external carotid artery injury, intractable bleeding
Publication status:Published
Publication version:Version of Record
Publication date:01.09.2020
Publisher:Association of Radiology and Oncology
Year of publishing:2020
Number of pages:str. 253-262, I
Numbering:Vol. 54, no. 3
Source:Ljubljana
PID:20.500.12556/DiRROS-19295 New window
UDC:616-001
ISSN on article:1318-2099
DOI:10.2478/raon-2020-0035 New window
COBISS.SI-ID:24230147 New window
Copyright:by Authors
Note:Soavtorji: Dimitrij Lovric, Ursa Zabret, Tomislav Mirkovic, Primoz Gradisek, Anita Mrvar-Brecko and Katarina Surlan Popovic;
Publication date in DiRROS:12.07.2024
Views:475
Downloads:242
Metadata:XML DC-XML DC-RDF
:
LANGEL, Črt, LOVRIČ, Dimitrij, BONEŠ, Urša, MIRKOVIĆ, Tomislav, GRADIŠEK, Primož, MRVAR BREČKO, Anita and ŠURLAN POPOVIĆ, Katarina, 2020, Transarterial embolization of the external carotid artery in the treatment of life-threatening haemorrhage following blunt maxillofacial trauma. Radiology and oncology [online]. 2020. Vol. 54, no. 3, p. 253–262, i. [Accessed 16 April 2025]. DOI 10.2478/raon-2020-0035. Retrieved from: https://dirros.openscience.si/IzpisGradiva.php?lang=eng&id=19295
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Keywords:maksilofacialna travma, poškodba zunanje karotidne arterije, krvavitve, ki jih ni mogoče odstraniti


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