E2714. Angiographic Findings and Therapeutic Embolization of Active Bleeding After Head and Neck Trauma
Authors
Kyung-Hwa Park;
Chonnam National University Hospital
Byung Hyun Baek;
Chonnam National University Hospital
Hyoung Ook Kim;
Chonnam National University Hospital
Byung Chan Lee;
Chonnam National University Hospital
Background
Arterial bleeding may lead to life threatening conditions related to airway compression and asphyxia after head and neck trauma. Transcatheter embolization is often required for not only life-threatening hemorrhage also deep bleeding that does not stop with manual compression.
Educational Goals / Teaching Points
Understanding the arterial anatomy of head and neck is essential for the diagnosis and proper management of patients with traumatic arterial injury, and endovascular treatment of active bleeding with various embolic materials.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Arterial anatomy of Head and neck findings based on neck CT angiography and conventional angiography. Traumatic active bleeding cases treated with transcatheter embolization for injury of following arteries including inferior thyroidal artery, ascending cervical artery, deep cervical artery, facial artery, and internal maxillary artery.
Conclusion
Understanding arterial anatomy of head and neck based on axial CT and catheter angiography is crucial for the detection of active bleeding in patients with trauma. CT angiographic correlation for the detection of arterial bleeding can help interventional radiologist to perform the selective angiographic study and proper management.
