Tube tamponade

Potential pitfall in angiography of arterial hemorrhage associated with percutaneous drainage catheters

William D. Routh, Clifton M. Tatum, Richard B. Lawdahl, Josef Rosch, Frederick Keller

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Diagnostic angiography performed to search for a source of hemorrhage in three patients with percutaneous ttanshepatic biliary catheters and one patient with a percutaneous nephrostomy catheter was initially unrewarding when performed with the drainage catheter in place. In each patient, removal of the drainage catheter resulted in severe pulsatile hemorrhage from the parenchymal tract and allowed angiographic localization of the bleeding site. Temporary control of the hemorrhage was then obtained by inflating an angioplasty balloon within the tract. Transcatheter embolotherapy provided definitive control of bleeding in three patients. When initial angiographic evaluation for bleeding in patients with percutaneous biliary and nephrostomy catheters fails to depict a source, the study should be repeated immediately after removal of the drainage catheter. Because hemorrhage can be severe once tamponade is relieved, the drainage catheter should be withdrawn over a guide wire so that a tamponading catheter can be rapidly reinserted to control hemorrhage until more definitive therapy is undertaken.

Original languageEnglish (US)
Pages (from-to)945-949
Number of pages5
JournalRadiology
Volume174
Issue number3 PART 2
StatePublished - Mar 1990

Fingerprint

Drainage
Angiography
Catheters
Hemorrhage
Percutaneous Nephrostomy
Therapeutic Embolization
Balloon Angioplasty

Keywords

  • Gastrointestinal tract, angiography, 95.122
  • Gastrointestinal tract, hemorrhage, 76.458
  • Gastrointestinal tract, interventional procedure, 76.1299
  • Kidney, hemorrhage, 81.458
  • Kidney, interventional procedure, 81.1299
  • Renal angiography, 96.122

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

Cite this

Tube tamponade : Potential pitfall in angiography of arterial hemorrhage associated with percutaneous drainage catheters. / Routh, William D.; Tatum, Clifton M.; Lawdahl, Richard B.; Rosch, Josef; Keller, Frederick.

In: Radiology, Vol. 174, No. 3 PART 2, 03.1990, p. 945-949.

Research output: Contribution to journalArticle

Routh, William D. ; Tatum, Clifton M. ; Lawdahl, Richard B. ; Rosch, Josef ; Keller, Frederick. / Tube tamponade : Potential pitfall in angiography of arterial hemorrhage associated with percutaneous drainage catheters. In: Radiology. 1990 ; Vol. 174, No. 3 PART 2. pp. 945-949.
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