Key result
Angiography identifies postoperative hip bleeding sources in ~63% of patients, guiding safe embolization.
Observational (n=16)
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Angiography was done on sixteen patients with excessive bleeding from the wound following major hip surgery. In ten patients the bleeding site was so identified and the vessel was embolized with autologous clot or surgical gelatin. In six patients no site of bleeding could be seen. There was one angiographic complication: distal embolization to the popliteal artery. We concluded that angiography often may be helpful in localizing the site of excessive postoperative bleeding from a wound, and transcatheter embolization of the bleeding vessel then can be effective in controlling such bleeding.
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Stock et al. (1980) conducted an observational in Excessive wound bleeding following major hip surgery (n=16). Angiography and transcatheter embolization with autologous clot or surgical gelatin was evaluated on Identification and embolization of bleeding site. Angiography identified the bleeding site in 10 of 16 patients with postoperative hip wound hemorrhage, allowing transcatheter embolization with 1 complication.
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