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

研究成果: 雜誌貢獻文章同行評審

6 引文 斯高帕斯(Scopus)

摘要

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 <1.2 and <0.8, respectively, and higher Glasgow Coma Scale (>8) before than after TAE, were positively correlated with survival.
原文英語
頁(從 - 到)507-511
頁數5
期刊Injury
39
發行號5
DOIs
出版狀態已發佈 - 5月 2008
對外發佈

ASJC Scopus subject areas

  • 急診醫學
  • 骨科和運動醫學

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