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Retrospective 12-Year Study of the Safety and Efficacy of Transcatheter Arterial Embolization for Managing Bleeding Complications Following Hip Surgery

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Abstract

Purpose

This study was designed to evaluate the safety and effectiveness of transcatheter arterial embolization (TAE) for stopping bleeding following hip surgery.

Methods

We performed a 12-year retrospective analysis of 13 patients (M:F = 6:7, median age 72 years) who underwent angiography for bleeding following hip surgery. The types of surgery, latency time, angiographic findings, TAE details, procedure-related complications, and clinical outcomes were analyzed. Technical success was defined as no further bleeding detected on angiography following embolization.

Results

Total hip replacement arthroplasty was the most common surgery performed for these patients (n = 10). Seven of the 13 study patients underwent angiography the same day as their surgery. Angiograms showed active (n = 11) or suspicious (n = 1) bleeding in 12 of the 13 patients. Gelatin sponge particles, coils, NBCA, PVA, and their combinations were used as the embolic material. For the one patient without obvious signs of bleeding, prophylactic TAE was done to achieve bleeding control. For the 11 patients with active bleeding, 10 underwent technically successful TAE, and 1 patient underwent surgery due to a large pseudoaneurysm located near the bifurcation of the common femoral artery. There were no major procedure-related complications or patient mortality. The 30-day mortality rate was 15 % (2/13), and both of these patients died of multiorgan failure.

Conclusions

Transcatheter angiography is useful for identifying bleeding arteries. TAE is safe and effective for managing bleeding after hip surgery.

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Conflict of interest

Hong Tao Cheng, Ji Hoon Shin, Hyun Ki Yoon, Jooae Choe, Gi Young Ko, Dong Il Gwon, Heung Kyu Ko, Jin Hyoung Kim, and Kyu Bo Sung declare that this study was performed without any financial support that could inappropriately influence this study. For each author, there is no professional or other personal interest of any nature or any product and/or service company that could be contributed as influencing the position presented.

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Authors and Affiliations

  1. Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, 86, Asanbyeongwon-gil, Songpa-gu, Seoul, 138-736, Korea

    Hongtao Cheng, Ji Hoon Shin, Hyun Ki Yoon, Jooae Choe, Gi Young Ko, Dong Il Gwon, Heung Kyu Ko, Jin Hyoung Kim & Kyu Bo Sung

  2. Department of Interventional Radiology, The Affiliated Cancer Hospital of Zhengzhou University, No 127, Dongming Road, Zhengzhou, 450008, China

    Hongtao Cheng

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  1. Hongtao Cheng
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  2. Ji Hoon Shin
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  3. Hyun Ki Yoon
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  4. Jooae Choe
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  5. Gi Young Ko
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  6. Dong Il Gwon
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  7. Heung Kyu Ko
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  8. Jin Hyoung Kim
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  9. Kyu Bo Sung
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Corresponding author

Correspondence to Ji Hoon Shin.

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Cheng, H., Shin, J.H., Yoon, H.K. et al. Retrospective 12-Year Study of the Safety and Efficacy of Transcatheter Arterial Embolization for Managing Bleeding Complications Following Hip Surgery. Cardiovasc Intervent Radiol 37, 1464–1468 (2014). https://doi.org/10.1007/s00270-013-0772-2

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  • DOI: https://doi.org/10.1007/s00270-013-0772-2

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