Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report
Abstract Introduction An intrathoracic bleeding from the thyrocervical branch is not common in blunt trauma, but an interventional radiologist should be aware of the risks in order to prevent complications. Case presentation A 30-year-old male presented with a right pneumo-haemothorax due to active...
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Patient Safety in Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13037-020-00244-8 |
| _version_ | 1818109101178093568 |
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| author | Luca Perrucci Monica Graziano Zairo Ferrante Elisabetta Salviato Aldo Carnevale Roberto Galeotti |
| author_facet | Luca Perrucci Monica Graziano Zairo Ferrante Elisabetta Salviato Aldo Carnevale Roberto Galeotti |
| author_sort | Luca Perrucci |
| collection | DOAJ |
| description | Abstract Introduction An intrathoracic bleeding from the thyrocervical branch is not common in blunt trauma, but an interventional radiologist should be aware of the risks in order to prevent complications. Case presentation A 30-year-old male presented with a right pneumo-haemothorax due to active bleeding revealed at contrast-enhanced CT, as a consequence of a fall occurred in the previous week. The patient was treated with endovascular embolisation in an angiographic room with coils placement, since the right thyrocervical artery was found to be supplying the pneumo-haemothorax. A radiculo-medullary branch rose from the thyrocervical trunk, impeding the proximal embolization with microparticles and needing selective isolation of the bleeding artery with the catheter to avoid spinal cord injuries. The treatment had a successful result and the following CT control showed signs of recovering, without any complication. Conclusion Our paper presents a rare contingency, warning the operator to bear in mind the presence of arteries feeding the spinal cord. This crucial detail precludes the use of microparticles embolisation to prevent neurologic sequelae, whereas the use of endovascular coils for embolization should be mandatory. Moreover, this case reminds that the post-traumatic bleeding deriving from a cervical trauma may also occur later. |
| first_indexed | 2024-12-11T02:25:54Z |
| format | Article |
| id | doaj.art-cd4cb3ce10a84bd18bdfcc8c75e3d55b |
| institution | Directory Open Access Journal |
| issn | 1754-9493 |
| language | English |
| last_indexed | 2024-12-11T02:25:54Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Patient Safety in Surgery |
| spelling | doaj.art-cd4cb3ce10a84bd18bdfcc8c75e3d55b2022-12-22T01:23:56ZengBMCPatient Safety in Surgery1754-94932020-05-011411510.1186/s13037-020-00244-8Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case reportLuca Perrucci0Monica Graziano1Zairo Ferrante2Elisabetta Salviato3Aldo Carnevale4Roberto Galeotti5Department of Interventional and Diagnostic Radiology, Arcispedale Sant’AnnaDepartment of Interventional and Diagnostic Radiology, Arcispedale Sant’AnnaDepartment of Interventional and Diagnostic Radiology, Arcispedale Sant’AnnaDepartment of Interventional and Diagnostic Radiology, Arcispedale Sant’AnnaRadiology Department, University Radiology Unit, Sant’Anna University HospitalSection of Diagnostic Imaging, Department of Morphology, Surgery and Experimental Medicine, University of FerraraAbstract Introduction An intrathoracic bleeding from the thyrocervical branch is not common in blunt trauma, but an interventional radiologist should be aware of the risks in order to prevent complications. Case presentation A 30-year-old male presented with a right pneumo-haemothorax due to active bleeding revealed at contrast-enhanced CT, as a consequence of a fall occurred in the previous week. The patient was treated with endovascular embolisation in an angiographic room with coils placement, since the right thyrocervical artery was found to be supplying the pneumo-haemothorax. A radiculo-medullary branch rose from the thyrocervical trunk, impeding the proximal embolization with microparticles and needing selective isolation of the bleeding artery with the catheter to avoid spinal cord injuries. The treatment had a successful result and the following CT control showed signs of recovering, without any complication. Conclusion Our paper presents a rare contingency, warning the operator to bear in mind the presence of arteries feeding the spinal cord. This crucial detail precludes the use of microparticles embolisation to prevent neurologic sequelae, whereas the use of endovascular coils for embolization should be mandatory. Moreover, this case reminds that the post-traumatic bleeding deriving from a cervical trauma may also occur later.http://link.springer.com/article/10.1186/s13037-020-00244-8Emergency radiologyEmbolisationHead/neckHaemorrhageTrauma |
| spellingShingle | Luca Perrucci Monica Graziano Zairo Ferrante Elisabetta Salviato Aldo Carnevale Roberto Galeotti Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report Patient Safety in Surgery Emergency radiology Embolisation Head/neck Haemorrhage Trauma |
| title | Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report |
| title_full | Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report |
| title_fullStr | Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report |
| title_full_unstemmed | Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report |
| title_short | Pitfalls in the embolisation of a thyrocervical trunk bleeding: a case report |
| title_sort | pitfalls in the embolisation of a thyrocervical trunk bleeding a case report |
| topic | Emergency radiology Embolisation Head/neck Haemorrhage Trauma |
| url | http://link.springer.com/article/10.1186/s13037-020-00244-8 |
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