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Current approaches to retroperitoneal hemorrhage: Too little, too late
Author(s) -
Safian Robert D.
Publication year - 2017
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.27168
Subject(s) - medicine , triage , retroperitoneal hemorrhage , percutaneous , interventional radiology , intensive care medicine , radiology , surgery , emergency medicine
Key Points Retroperitoneal hemorrhage (RPH) arises in < 0.5% of patients undergoing percutaneous intervention, but is associated with high risks of morbidity and mortality. More than 50% of medical malpractice claims against interventional cardiologists are related to death and hemorrhage from vascular injury; delays in diagnosis and treatment are common. The current approach to RPH is characterized by “too little” to diagnose and “too late” to manage patients in extremis . Immediate CTA allows rapid diagnosis and triage to appropriate endovascular therapy, without delay.