Transcatheter Arterial Embolisation for Haemorrhage from the Inferior Epigastric Artery after Acupuncture: A Case Report

Moon, Sang Won; Kim, Ki Hoon

doi:10.1136/acupmed-2012-010298

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…For subcutaneous bleeding, hematoma, and bleeding, no clinically significant difference was found between patients with and without potential bleeding tendencies. However, there are some articles that report AEs, such as bleeding from the inferior epigastric artery, 22 acute spinal subdural hematomas, 23 and hematomas on the buttocks. 24 Therefore, acupuncturists should avoid unnecessary deep needling and crude procedures regardless of their patients' bleeding tendencies.…”

Section: Assessment Of Each Adverse Eventmentioning

confidence: 99%

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

Furuse

Satoh

Uehara³

et al. 2017

Medical Acupuncture

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There have been only a few prospective surveys on adverse events (AEs) in Japanese-style acupuncture practice, and these surveys were conducted only in a single college acupuncture clinic. The goal of this research was to assess the safety of acupuncture and moxibustion performed in educational facilities in Japan. This was a multicenter prospective survey, using paper reporting forms. It was conducted in eight acupuncture clinics affiliated with educational institutions. The subjects were outpatients attending the clinics. The main outcome measure was the number of reported adverse events. The study was conducted for 5-7 months at each facility between October 2014 and June 2015. Participating acupuncture practitioners were instructed to self-report AEs observed during and after treatment; patients were interviewed upon treatment completion. For returning patients, treatment was preceded by an interview survey regarding the AEs identified after the previous treatment session. A specialized 4-sheet questionnaire was used. Two hundred and thirty-two acupuncture practitioners participated, 2180 patients received treatment, and there were 14,039 sessions, overall. In total, 847 (6.03%) AEs were reported. The most common AEs included subcutaneous bleeding and hematomas (370, 2.64%), followed by discomfort (109, 0.78%) and residual pain at insertion points (94, 0.67%). No infections or serious AEs were reported. Acupuncture and moxibustion performed in educational facilities in Japan were safe because most of the AEs reported were mild and transient. However, the risk cannot be defined definitely because the survey sample size was too small.

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Section: Assessment Of Each Adverse Eventmentioning

confidence: 99%

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

Furuse

Satoh

Uehara³

et al. 2017

Medical Acupuncture

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show abstract

“…The IEA injury is generally treated through surgery and transcatheter embolization; however, additional complications should be avoided during the bailout procedure. 1 , 2 Here, we have presented a case of catheter ablation complicated by IEA haemorrhage that we managed by transcatheter embolization using a transpedal intervention (TPI). The TPI can be an effective bailout technique to avoid further complications.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Transpedal Intervention for Inferior Epigastric Artery Bleeding Following Catheter Ablation: A Case Report

Kusumoto

Ishibuchi

Takiuchi

et al. 2022

European Heart Journal - Case Reports

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Background Cardiovascular interventions may result in access site complication, including inferior epigastric artery (IEA) bleeding. IEA injury are generally treated through surgery and transcatheter embolisation; however, additional complications should be avoided in the bailout procedure. Here, we present a case of catheter ablation complicated by IEA haemorrhage that we managed by transcatheter embolisation using a trans-pedal intervention (TPI). Case summary A 58-year-old man underwent catheter ablation for symptomatic paroxysmal atrial fibrillation (PAF). Pulmonary vein isolation was performed uneventfully via catheterisation of the right femoral artery and vein access. After the procedure, he complained of persistent abdominal pain and had a palpable mass in the lower right abdomen. Computed tomography angiography (CTA) revealed a haematoma in the right rectus abdominis with signs of active bleeding from a branch of the right inferior epigastric artery (IEA). We performed transcatheter arterial embolisation through a transpedal intervention (TPI) to stop bleeding and avoid further complication. No leakage of contrast media was detected after embolisation using a micro coil and the abdominal pain improved. We did not observe any serious intraprocedural complications. Discussion Catheter ablation procedures may be complicated by access site complications such as active bleeding. Arterial embolisation is a feasible treatment approach to control the resulting haemorrhage. Embolisation through the transpedal route (transpedal intervention) could be an effective bailout technique in the setting of emergent transcatheter arterial embolisation to achieve haemostasis and avoid further complication.

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The reporting quality of acupuncture-related traumatic adverse events: a systematic review of case studies in Korea

Kim,

Lee,

Kim

et al. 2024

BMC Complement Med Ther

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Background Acupuncture is known for a harmless treatment when administered by well-trained clinicians. However, multiple case reports of traumatic adverse events (AEs) related to acupuncture treatments continue to be published in literature. In this review, we evaluated the reporting quality and conducted causality assessments of case studies that have reported acupuncture-related traumatic AEs in Korea. Methods Eight databases were searched from their inception to January 2024. Only Korean case studies that reported traumatic AEs following acupuncture procedures were included without any language restrictions. Reporting quality was evaluated based on patient characteristics, AEs, and acupuncture practice. Causality was assessed using the modified WHO-UMC causality criteria. Results Twenty-eight studies were included from a total of 1,154 identified studies. The quality of reporting in the included studies was low overall. While the descriptions of patient characteristics and AEs were relatively well detailed, most information on acupuncture practice was not reported at all. During the causality assessment, only three (10.7%) studies were judged to be “certain”. Twelve (42.9%) studies were “unassessable” because they inadequately described the information necessary for decision-making. It was practically difficult to establish the causality between acupuncture and AEs, as well as the appropriateness of acupuncture practice. Conclusions Insufficient and inappropriate reporting was observed in most case studies reporting acupuncture-related traumatic AEs in Korea. To overcome these limitations, we have suggested tentative guidelines in the form of a set of items that should be reported by future authors who plan to publish case studies on acupuncture-related traumatic AEs in a clinical setting.

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Transcatheter Arterial Embolisation for Haemorrhage from the Inferior Epigastric Artery after Acupuncture: A Case Report

Cited by 5 publications

References 12 publications

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

A Multicenter Prospective Survey of Adverse Events Associated with Acupuncture and Moxibustion in Japan

Usefulness of Transpedal Intervention for Inferior Epigastric Artery Bleeding Following Catheter Ablation: A Case Report

The reporting quality of acupuncture-related traumatic adverse events: a systematic review of case studies in Korea

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