Emergency Transcatheter Arterial Embolization for Acute Mediastinal Hemorrhage

The aim of this study was to investigate the application value of transcatheter arterial embolization (TAE) for mediastinal hemorrhage.The study retrospectively analyzed the status of TAE treatment in 13 patients with mediastinal hemorrhage.Aortic angiography and bleeding artery angiography showed that the bleeding in 13 mediastinal hemorrhage patients, respectively, originated from intercostal artery, esophageal artery, or bronchial artery. All patients were embolized with gelatin sponge and (or) polyvinyl alcohol particles. Chest computed tomography scan found that all 13 patients showed reduced range of mediastinal hematoma after TAE.TAE has the advantages of reduced trauma, rapid and direct hemostasis, and solid therapeutic effects in the treatment of mediastinal hemorrhage.