Endovascular embolization for treating hemothorax: caveats and considerations.

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2026-08-01 Epub Date: 2026-03-12 DOI:10.1007/s12055-026-02202-y

Indy Kelderman, Bernd Popko Teunissen, Chris Dickhoff, Martijn Ruben Meijerink, Wietse Pieter Zuidema

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引用次数: 0

Abstract

Thoracic trauma is the third leading cause of death in all age groups. Around a quarter of trauma mortalities is related to thoracic trauma, with a portion of the patients developing a hemothorax requiring surgical intervention. Recently, endovascular embolization has seen a rise in usage as a less invasive alternative to surgical intervention in treating hemothorax. However, larger series and trials comparing efficacy and complication have yet to be completed. In this case series and narrative review of available literature, we described our experience with the endovascular treatment of hemothoraces, and performed a literature review of smaller series on efficacy and re-intervention rates of endovascular embolization compared to surgical intervention. Smaller described cohorts show efficacy rates of up to 93% of endovascular embolization in achieving hemostasis in traumatic hemothorax, with up to 68% needing surgical re-intervention. Based on our experiences and available literature, we propose a clinical algorithm when considering embolization instead of immediate surgical intervention.

Supplementary information: The online version contains supplementary material available at 10.1007/s12055-026-02202-y.

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血管内栓塞治疗血胸：注意事项。

在所有年龄组中，胸部创伤是第三大死因。大约四分之一的创伤死亡与胸部创伤有关，其中一部分患者发展为血胸，需要手术干预。最近，血管内栓塞术作为一种微创手术治疗血胸的方法越来越多。然而，比较疗效和并发症的大型系列和试验尚未完成。在这个病例系列和现有文献的叙述性回顾中，我们描述了我们在血管内治疗血胸的经验，并对与手术干预相比，血管内栓塞的疗效和再干预率进行了较小系列的文献回顾。较小的描述队列显示，在创伤性血胸患者中，血管内栓塞止血的有效率高达93%，需要再次手术干预的有效率高达68%。根据我们的经验和现有文献，我们提出了一种临床算法，当考虑栓塞而不是立即手术干预。补充信息：在线版本包含补充资料，下载地址：10.1007/s12055-026-02202-y。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.