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Vascular and Endovascular Surgery
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Transarterial Embolization for Inferior Epigastric Artery Injury

Srigouri Yalamanchili, MD

Department of Radiology, St Luke's-Roosevelt Hospital Center

Sara M. Harvey, MD

Department of Radiology, St Luke's-Roosevelt Hospital Center

Adie Friedman, MD

Department of Radiology, St Luke's-Roosevelt Hospital Center

Joseph N. Shams, MD

Department of Radiology, Beth Israel Medical Center New York, New York

James E. Silberzweig, MD

Department of Radiology, St Luke's-Roosevelt Hospital Center, jsilberz{at}chpnet.org

The inferior epigastric artery represents a potentially overlooked source of pelvic arterial hemorrhage. The authors describe 3 patients with massive inferior epigastric artery bleeding following cesarean section, paracentesis, and blunt trauma that were successfully treated with transarterial embolization. The inferior epigastric artery should be considered as a possible source of arterial hemorrhage if arteriography of internal iliac artery branches does not yield a bleeding source.

Key Words: embolization • hemorrhage • inferior epigastric artery

Vascular and Endovascular Surgery, Vol. 42, No. 5, 489-493 (2008)
DOI: 10.1177/1538574408316144
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