Abstract No. 295 EE: Image Guided Intervention for Management of Unusual Causes of Traumatic Hemorrhage

Abstract

PurposeTo review the recent USC experience in the management of unusual cases of traumatic and iatrogenic hemorrhage. These causes of hemorrhage are rare even in a Level I trauma center, but could be encountered by interventional radiologists in a small community based practice. Review of such cases is provided to broaden the practical knowledge base of the general interventionalist.Materials & MethodsReview of clinical cases involving hemorrhage due to:A. Non-penetrating breast traumaB. Non-penetrating gastrointestinal tract traumaC. Pathologic femur fractureD. Percutaneous nephrostomy tubeE. TracheostomyF. ParacentesisG. ThoracentesisH. Inadvertant large bore catheterization of the subclavian arteryCase discussions will include relevant anatomy, techniques and approaches for intervention, and clinical outcomes.Teaching Points1. Unusual causes of bleeding that are uncommonly encountered in the community can present a diagnostic and interventional challenge. 2. Familiarity with anatomic issues and practical management of these unusual types of hemorrhage can broaden the treatment options available to the general interventionalist. PurposeTo review the recent USC experience in the management of unusual cases of traumatic and iatrogenic hemorrhage. These causes of hemorrhage are rare even in a Level I trauma center, but could be encountered by interventional radiologists in a small community based practice. Review of such cases is provided to broaden the practical knowledge base of the general interventionalist. To review the recent USC experience in the management of unusual cases of traumatic and iatrogenic hemorrhage. These causes of hemorrhage are rare even in a Level I trauma center, but could be encountered by interventional radiologists in a small community based practice. Review of such cases is provided to broaden the practical knowledge base of the general interventionalist. Materials & MethodsReview of clinical cases involving hemorrhage due to:A. Non-penetrating breast traumaB. Non-penetrating gastrointestinal tract traumaC. Pathologic femur fractureD. Percutaneous nephrostomy tubeE. TracheostomyF. ParacentesisG. ThoracentesisH. Inadvertant large bore catheterization of the subclavian arteryCase discussions will include relevant anatomy, techniques and approaches for intervention, and clinical outcomes. Review of clinical cases involving hemorrhage due to: A. Non-penetrating breast trauma B. Non-penetrating gastrointestinal tract trauma C. Pathologic femur fracture D. Percutaneous nephrostomy tube E. Tracheostomy F. Paracentesis G. Thoracentesis H. Inadvertant large bore catheterization of the subclavian artery Case discussions will include relevant anatomy, techniques and approaches for intervention, and clinical outcomes. Teaching Points1. Unusual causes of bleeding that are uncommonly encountered in the community can present a diagnostic and interventional challenge. 2. Familiarity with anatomic issues and practical management of these unusual types of hemorrhage can broaden the treatment options available to the general interventionalist. 1. Unusual causes of bleeding that are uncommonly encountered in the community can present a diagnostic and interventional challenge. 2. Familiarity with anatomic issues and practical management of these unusual types of hemorrhage can broaden the treatment options available to the general interventionalist.