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Endovascular Treatment to Stop Life-threatening Bleeding from Branches of the External Carotid Artery in Patients with Traumatic Maxillofacial Fracture
DC Field | Value | Language |
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dc.contributor.author | 이우성 | - |
dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2017-10-26T07:39:24Z | - |
dc.date.available | 2017-10-26T07:39:24Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 2234-8565 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152336 | - |
dc.description.abstract | OBJECTIVE: The purpose of this study was to report our preliminary experience with endovascular treatment (EVT) for life-threatening bleeding from branches of the external carotid artery (ECA) in patients with traumatic maxillofacial fractures. MATERIALS AND METHODS: A total of 12 patients seen between March 2010 and December 2014 were included in this study. All subjects met the following criteria: 1) presence of maxillofacial fracture; 2) continuous blood loss from oronasal bleeding; and 3) EVT to stop bleeding. Various clinical factors were recorded for each patient and the correlations between those factors and clinical outcome (Glasgow Outcome Scale, GOS) were evaluated. RESULTS: Four patients were injured in traffic accidents, five in falls, and three by assaults. Mean initial Glasgow Coma Scale (GCS) was 6.9 ± 2.1 and the lowest hemoglobin measured was mean 6.3 ± 0.9 g/dL. GOS at discharge was 4 in five patients, 3 in three patients, and 1 (death) in four patients. GOS on follow-up (mean 13.7 months) was 5 in two patients, 4 in three patients, and 3 in three patients. Initial GCS (p = 0.016), lowest systolic blood pressure (p = 0.011), and lowest body temperature (p = 0.012) showed a significant positive correlation with good clinical outcomes. The number of units of red blood cells transfused (p = 0.030), the number of units of fresh frozen plasma transfused (p = 0.013), and the time from arrival to groin puncture (p < 0.001) showed significant negative correlation with good clinical outcomes. CONCLUSION: It might be suggested that rapid transition to EVT could be preferable to struggling with other rescue strategies to stop life-threatening bleeding from branches of the ECA in patients with traumatic maxillofacial fractures. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Society of Cerebrovascular Surgeons | - |
dc.relation.isPartOf | Journal of Cerebrovascular and Endovascular Neurosurgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Endovascular Treatment to Stop Life-threatening Bleeding from Branches of the External Carotid Artery in Patients with Traumatic Maxillofacial Fracture | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Woosung Lee | - |
dc.contributor.googleauthor | Yu Shik Shim | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.identifier.doi | 10.7461/jcen.2016.18.2.83 | - |
dc.contributor.localId | A03731 | - |
dc.contributor.localId | A05004 | - |
dc.relation.journalcode | J01307 | - |
dc.identifier.pmid | 27790397 | - |
dc.relation.journalbefore | 2012년에 대한내혈관외과,내과학회지 통합 | - |
dc.subject.keyword | Endovascular procedures | - |
dc.subject.keyword | Facial bones | - |
dc.subject.keyword | Hemorrhage | - |
dc.subject.keyword | Maxillary artery | - |
dc.subject.keyword | Maxillary fractures | - |
dc.contributor.alternativeName | Lee, Woo Sung | - |
dc.contributor.alternativeName | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Chung, Joon Ho | - |
dc.contributor.affiliatedAuthor | Lee, Woo Sung | - |
dc.citation.volume | 18 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 83 | - |
dc.citation.endPage | 89 | - |
dc.identifier.bibliographicCitation | Journal of Cerebrovascular and Endovascular Neurosurgery, Vol.18(2) : 83-89, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 48071 | - |
dc.type.rims | ART | - |
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