Journal of Emergencies, Trauma, and Shock
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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 111-116

Role of intercostal artery embolization in management of traumatic hemothorax

1 Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore 768828, Singapore
2 Department of Diagnostic Radiology, Woodlands Health Campus, Singapore 768024, Singapore
3 Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore
4 Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore 308433, Singapore

Correspondence Address:
Rahul Lohan
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JETS.JETS_157_20

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Intercostal artery bleeding from trauma can result in potentially fatal massive hemothorax. Traumatic hemothorax has traditionally been treated with tube thoracostomy, video-assisted thoracoscopic surgery, or thoracotomy. Transcatheter arterial embolization (TAE), a well-established treatment option for a variety of acute hemorrhage is not widely practiced for the management of traumatic hemothorax. We present 2 cases of delayed massive hemothorax following chest trauma which were successfully managed by transarterial embolization of intercostal arteries. The published studies are reviewed and a systematic approach to the selection of patients for TAE versus emergency thoracotomy is proposed.

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