Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Oct 2001
Spontaneous extraperitoneal hemorrhage with hemodynamic collapse in patients undergoing anticoagulation: management with selective arterial embolization.
The authors report their experience with management of unstable spontaneous extraperitoneal hemorrhage (SEH) with selective transcatheter embolization. Five consecutive patients underwent angiographic evaluation for SEH complicated by hemodynamic collapse while undergoing anticoagulation therapy. Bleeding occurred via one or two lumbar arteries in psoas hematomas. ⋯ Microcoil embolization successfully controlled extravasation in all patients, with stabilization of hemodynamic parameters. Four of the five patients survived the immediate postprocedural interval. Selective transcatheter embolization may be a viable life-saving option in SEH-associated hemodynamic collapse.
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J Vasc Interv Radiol · Sep 2001
Randomized Controlled Trial Clinical TrialIntraarterial lidocaine for pain control after uterine artery embolization for leiomyomata.
To evaluate the effectiveness of intraarterial lidocaine in controlling pain after uterine artery embolization (UAE). ⋯ Intraarterial 1% lidocaine is associated with moderate to severe vasospasm. Lidocaine significantly lowers subjective pain, but there is no difference in analgesic requirements. The routine use of intraarterial lidocaine is not recommended for pain control until the long-term effects of vasospasm on outcome is known.
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J Vasc Interv Radiol · Sep 2001
Case ReportsPercutaneous repair of an iatrogenic laceration of the left bile duct with a covered stent.
The presence of biliary leaks after liver resections is not an unusual problem, especially after extended hepatectomies. The usual treatment of choice for biliary duct injuries is to decompress the biliary system with draining catheters. ⋯ After 6 months, the patient was tube-free and without any episode of cholangitis or bile duct dilation. Longer follow-up will clarify the future role of this kind of device in biliary system lacerations.