Transarterial embolisation for intractable post-traumatic oronasal haemorrhage following traumatic brain injury: Evaluation of prognostic factors

Cheng Chih Liao, Yuan-Yun Tseng, Chien Tzung Chen

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aim: To analyse the outcomes of transarterial embolisation (TAE) for post-traumatic oronasal haemorrhage following traumatic brain injury (TBI), for clinical application and prognosis. Method: Retrospective review of records of 17 patients treated in the neurosurgical intensive care unit for TBI complicated with intractable post-traumatic oronasal haemorrhage requiring TAE. The Mann-Whitney U-test, Wilcoxon signed rank test and Fisher's exact test were used in statistical analysis. Results: TAE successfully stopped the post-traumatic oronasal haemorrhage in 13 of 17 cases. The internal maxillary artery was the most common haemorrhaging vessel requiring embolisation. Successful haemostasis contributed significantly to survival. Conclusion: Transarterial embolisation may stop intractable post-traumatic oronasal haemorrhage when conventional packing fails. Shock index (calculated as heart rate/systolic blood pressure) before and after TAE 8) before than after TAE, were positively correlated with survival.

Original languageEnglish
Pages (from-to)507-511
Number of pages5
JournalInjury
Volume39
Issue number5
DOIs
Publication statusPublished - May 2008
Externally publishedYes

Keywords

  • Craniofacial trauma
  • Glasgow Coma Scale
  • Post-traumatic oronasal haemorrhage
  • Shock index
  • Transarterial embolisation

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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