Hämodynamisch relevante intrathorakale Blutung nach CPR: Fallbericht über eine reanimationsassoziierte Verletzung von Interkostalarterien mit Notwendigkeit einer arteriellen Transkatheter-Embolisation

Zusammenfassung

Traumata mit Rippen(serien)- und Sternumfrakturen sind häufige Folgen einer kardiopulmonalen Reanimation. Wir stellen einen Fall vor, bei dem es infolge der Thoraxkompressionen zu einer Rippenserienfraktur mit hämodynamisch relevanter und transfusionspflichtiger Blutung aus 3 Interkostalarterien kam. Der Befund wurde mittels interventionell-radiologischer Coilembolisation therapiert. Nach kardiopulmonaler Reanimation sollten, insbesondere bei hämodynamischer Instabilität, Traumata in Betracht gezogen und aktiv gesucht bzw. ausgeschlossen werden.

Abstract

Traumata with (serial) rib and sternal fractures are common sequelae of cardiopulmonary resuscitation. In our case, chest compressions have led to serial rib fractures with hemodynamically relevant bleeding from three intercostal arteries which required transfusion. The finding was treated with interventional-radiological coil embolization. Following cardiopulmonary resuscitation, traumata should be considered and actively sought, or excluded, especially in hemodynamically instable patients.

Schlüsselwörter

Kreislaufstillstand - Reanimationstrauma - Rippenserienfraktur - Thoraxtrauma - Hämorrhagie - interventionelle Radiologie

Keywords

cardiac arrest - resuscitation trauma - serial rib fracture - thoracic Injuries - hemorrhage - interventional radiology

Publication History

Received: 25 June 2021

Accepted after revision: 13 April 2022

Article published online:
10 June 2022

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