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Endovascular treatment of a massive retroperitoneal bleeding: Successful balloon‐catheter delivery of intra‐arterial thrombin
Author(s) -
Silva Jose A.,
Stant John,
Ramee Stephen R.
Publication year - 2005
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20251
Subject(s) - medicine , surgery , femoral artery , complication , percutaneous , balloon , catheter , retroperitoneal hemorrhage , pseudoaneurysm , balloon catheter , radiology , thrombosis , angioplasty
Retroperitoneal bleeding is a potentially lethal complication of percutaneous intervention, when the common femoral artery is used as vascular access. Surgery, the traditional treatment for this complication in patients with persistent bleeding or hemodynamic instability, carries a considerable risk of morbidity and mortality. We report a case of life‐threatening retroperitoneal bleeding successfully treated percutaneously with balloon occlusion and catheter delivery of thrombin to attain thrombosis of a lacerated branch of the common femoral artery. Endovascular catheter‐based percutaneous treatment for massive retroperitoneal bleeding is often effective and should be pursued in selected patients. Catheter Cardiovasc Interv 2005;64:218–222. © 2005 Wiley‐Liss, Inc.