Emergency Endovascular Balloon Embolization of an Active Oral Bleeder-A Case Report

大量口腔出血可因為外傷、動脈瘤破裂或扁桃腺切除手術而引起，它需要立即性的照護。假如可找到快速出血點，它可經由血管內栓塞或外科結綁手術治療。在一個上了年紀的女性病患，我們使用一個可脫離的囊球栓塞復發性扁桃性腫瘤所引起的急性出血。那個出血點既淺且急而且出口不明，這使得微導管線在血管的勾選變的非常困難。我們認為一個可脫離的囊球相較於線圈是較佳的選擇，因為出血點到頸動脈竇的距離相當短。栓塞術後的血管攝影像顯示了出血點的完全堵塞以及保留了上甲狀腺動脈且達到立即的效果。我們相信在某些特殊情況，除了線圈栓塞及傳統手術外，它是一個可行的替代或補充治療方式，尤其是在一個緊急的情況下。

關鍵字

咽部；腫瘤；出血；囊球；治療性放射線學

並列摘要

Profuse oral bleeding can result from trauma, aneurysm rupture, or tonsillectomy and needs prompt care. It can be treated with endovascular embolization or surgical ligation if an active bleeder can be identified. We used a detachable balloon for embolization in a 58-year-old woman with recurrent tonsillar carcinoma. The bleeder was shallow and active with an obscure origin, which made it difficult to cannulate using a steerable micro-guidewire and micro-catheter set. We preferred a detachable balloon rather than coils in this case in light of the short distance between the bleeder and the carotid bulb. A post embolization angiogram showed complete occlusion of the bleeder and preservation of the superior thyroid artery with immediate effect. We believe that a detachable balloon is a feasible alternative or complementary method to coil embolization or surgery under certain circumstances, especially in an emergency.

並列關鍵字

pharynx ； neoplasms ； hemorrhage ； balloon ； therapeutic radiology

國際替代計量

Emergency Endovascular Balloon Embolization of an Active Oral Bleeder-A Case Report

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