Bước đầu đánh giá hiệu quả của can thiệp nội mạch trong tổn thương động mach vùng hàm mặt do chấn thương

Initial evaluation of Transcatheter Arterial Embolization in the Treatment of Maxillofacial Trauma

SUMMARY

Purpose: To evaluate the results of Transcatheter Arterial Embolization in the Treatment of Maxillofacial Trauma.

Methods and Materiels: Prospective description study on 18 patients admitted for maxillofacial injuries with life-threatening hemorrhaging and hemodynamic instability from January 2011 to December 2013, at Viet Duc Hospital.

Results: Maxillofacial trauma was caused by traffic injuries (89%). 16/18 (89%) patients exhibited documented Le Fort III fractures. Internal maxillary artery often the most artery injury (77.8%). Transcatheter arterial embolization (TAE) was successful in all patients. No complications was found post-TAE. Three patients deaths (16.5%) occurred from severe traumatic brain injury.

Conclusion: Transcatheter Arterial Embolization in the Treatment of Maxillofacial Trauma was safe and effective to control acute bleeding.

Key Words: Maxillofacial trauma, Hemorrhage, Transcatheter arterial embolization (TAE), Facial fractures, Le Fort fractures.