Life-threatening bleeding and radiologic intervention after aesthetic surgeries with minimal invasive approaches: report of two cases

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Youn-Hwan KimJeong-Tae Kim

Abstract

In this article, the authors report two cases of life-threatening bleeding after cosmetic surgeries that have been successfully treated with radiologic intervention. A 25-year-old female and a 35-year-old female presented at their institutions because of postoperative bleeding after intraoral mandibular angle ostectomy and endoscopic-guided trans-axillary breast augmentation, respectively. A ruptured traumatic pseudo-aneurysm of the right superficial temporal artery was diagnosed in the first case and a haematoma posterior to the right pectoralis major, due to active bleeding from a perforator of internal mammary artery, in the second case. Attempts were made to stop the haemorrhage using standard methods, but failed. Therefore, superselective microcatheter angioembolisation has been successfully performed in both the cases. At 22-month follow-up for the first case and at 12-month follow-up for the second case, the patients are asymptomatic and the cosmetic outcomes are being preserved. With radiologic intervention, the authors gained satisfactory results in the above-mentioned situations. Using this, with only local anaesthesia and the absence of incisions, a precise approach with immediate treatment to the haemorrhaging site ...Continue Reading

References

May 20, 1998·Yonsei Medical Journal·M J ChooH K Song
Nov 15, 2002·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Woong YoonHeoung Keun Kang
Oct 25, 2003·Journal of the American Academy of Dermatology·Colby C EvansR Stan Taylor
Oct 25, 2006·Annals of Plastic Surgery·Eul-Sik YoonSeung-Ha Park
Apr 3, 2009·World Journal of Gastroenterology : WJG·Chen LiuMeng-Chao Wu
Jul 2, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Hoon ParkJae Hyung Park

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Citations

Mar 8, 2012·Aesthetic Plastic Surgery·Ryan EngdahlRobert Rosen
Feb 4, 2012·Head & Neck·Dominique J P van UdenMichel M P J Reijnen
Dec 13, 2018·Annals of Plastic Surgery·Xi FuYing Chen
Sep 2, 2020·The Journal of Craniofacial Surgery·Thais PimentelIdelmo Rangel Garcia-Júnior

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