Transarterial embolization in the management of life-threatening hemorrhage after maxillofacial trauma: a case report and review of literature

The American Journal of Emergency Medicine
Wei-Hsiu LiuDa-Tong Ju

Abstract

There are many reasons for hypotension in trauma patients. Life-threatening hemorrhage associated with maxillofacial trauma is considered rare. Here, we present a 25-year-old patient with maxillofacial trauma complicated by life-threatening hemorrhage after a traffic accident. At the emergency department, massive epistaxis was noted. Nasal packing and blood transfusion were performed, but vital signs of the patient were still unstable. Cerebral angiography revealed contrast extravasation from the left superficial temporal and internal maxillary arteries of the left external carotid artery. After transarterial embolization was performed, the hemorrhage immediately stopped. When common treatment such as nasal packing, correction of coagulopathy, reduction of fractures, and arterial ligation fails to control the hemorrhage, transarterial embolization can offer a safe alterative to surgical exploration.

References

Sep 1, 1991·Annals of Plastic Surgery·S R Thaller, S L Beal
Jun 1, 1983·Plastic and Reconstructive Surgery·R T Buchanan, B Holtmann
Jan 23, 2003·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Shaukat Mahmood, Terrence Lowe

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Citations

Apr 18, 2009·AJNR. American Journal of Neuroradiology·P W A WillemsR Agid
Mar 1, 2016·Archives of Craniofacial Surgery·Moo Hyun KimWan Suk Yang
Jul 7, 2010·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Tim HarrisGareth Davies
Aug 30, 2019·Archives of Craniofacial Surgery·Jeong Jin ChunHyun Gyo Jeong

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