Traumatic injury of the internal mammary artery: embolization versus surgical and nonoperative management

Whigham, Cliff J.; Fisher, Richard G.; Goodman, Chad J.; Dodds, C. A. F.; Trinh, Charles

doi:10.1007/s10140-002-0226-7

Cited by 60 publications

(44 citation statements)

References 16 publications

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“…The treatments for IMA injury include observation, TAE, and surgery. Four patients in our review recovered after observation, and all were from the same series (36). In the series from Whigham et al, angiography was performed in all of their 18 patients, but four of them did not receive embolization since no active bleeding was identi ed.…”

Section: Discussionmentioning

confidence: 88%

“…Two patients needed tracheostomy for long-term respiratory failure. The mortality rate was 9.7% (7 patients); however, only one patient died of uncontrolled exsanguination due to IMA (1.4%) (1), and the other deaths were attributed to severe brain injury (1,21), cardiac injury (13,36), acute renal injury (36), or multiple organ failure (13).…”

Section: As Shown Inmentioning

confidence: 99%

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Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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BackgroundTraumatic internal mammary artery (IMA) injury is a rare but clinically significant injury since it is linked to various troublesome conditions. In this review, we aim to provide a complete description and a practical strategy for managing this injury.MethodsPubMed, Embase, and the Web of Science were searched from 1960 to 2019. We also reviewed IMA injuries in our hospital. Only traumatic IMA injuries were included. The demographics, diagnostic procedures, treatments and outcomes were recorded and analyzed.ResultsThere were a total of 72 IMA injury cases, including 4 in our hospital. The injuries were predominantly in males (79.2%), were on the left side (66.7%), were considered blunt injuries (63.9%), and featured mediastinal hematoma (62.5%). Computed tomography (CT) has been used to diagnose IMA injuries in recent years. Most patients could be managed by nonsurgical treatments (61.2%). The outcome for IMA injury is very good, with low morbidity and mortality rates.ConclusionsIdentifying traumatic IMA injuries requires alertness from the physicians. An appropriate management chosen according to the patient’s individualized condition could lead to a satisfying result.Trial registration: not applicable

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Section: Discussionmentioning

confidence: 88%

Section: As Shown Inmentioning

confidence: 99%

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Wu¹,

Liao²,

Liao³

et al. 2020

Preprint

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“…[89] Transcatheter embolization is done by either placing the coils within the pseudoaneurysm or embolizing the feeding vessel proximal to pseudoaneurysm. [10] Embolization of the LIMA was performed in our case by deploying the coils within the LIMA proximal to pseudoaneurysm with no evidence of filling of pseudoaneurysm seen in the angiographic run taken post-deployment of coils.…”

Section: Discussionmentioning

confidence: 99%

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Yadav¹,

Bhatia²,

Kumar³

et al. 2013

Lung India

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Vascular complications in the chest due to tuberculosis (TB) involve the pulmonary as well as bronchial vasculature. Mycotic pseudoaneurysms of internal mammary artery (IMA) are a sparsely reported clinical entity in the literature occurring due to TB. We report a rare case of IMA pseudoaneurysm due to the tubercular empyema in a patient with massive hemoptysis who was treated by endovascular coil embolization; however, the patient died due to refractory shock.

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“…The injured internal mammary may be treated based on the clinical presentation. This management includes angioembolization or open surgery and ligation of the injured vessel [13]. We have proposed an algorithm based on current treatment approaches to penetrating chest trauma (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

Hassani

Rahman

Kanbar

et al. 2012

Case Reports in Surgery

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Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA). Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.

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Traumatic injury of the internal mammary artery: embolization versus surgical and nonoperative management

Cited by 60 publications

References 16 publications

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Traumatic Internal Mammary Injury— A Literature Review and Guide for Management

Internal mammary artery pseudoaneurysm: A rare fatal complication of tubercular empyema

Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

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