%0 Journal Article %T Adrenal glands hemorrhages: embolization in acute setting %A Giurazza, Francesco %A Corvino, Fabio %A Silvestre, Mattia %A Cangiano, Gianluca %A CavagliĆ , Errico %A Amodio, Francesco %A De Magistris, Giuseppe %A Frauenfelder, Giulia %A Niola, Raffella %J Gland Surgery %D 2018 %B 2018 %9 %! Adrenal glands hemorrhages: embolization in acute setting %K %X Background: Acute adrenal hemorrhages are a rare event compared to other abdominal visceral injuries because of the anatomic localization of the adrenal glands; main causes are trauma and ruptured neoplasms. This manuscript reports on a single center experience of transarterial embolizations of adrenal hemorrhages in emergency setting. Methods: In this retrospective analysis from 2010 to date, 17 patients (12 men and 5 women, mean age: 59.8 years) presenting with adrenal bleedings were treated by endovascular embolization. The etiology was traumatic in 7 cases, ruptured neoplasm in 8 cases and spontaneous in 2 patients assuming oral anticoagulant therapy. After thin slice contrast enhanced CT, a superselective embolization was conducted with different embolizing agents according to the type of vessel lesion and operator preference. Results: Technical success rate, considered as interruption of adrenal bleeding detectable at angiography, was 94.1%. Clinical success rate, considered as hemodynamic stability restoration within 24 hours from the procedure, was 82.3%. Vessels involved were the superior adrenal artery in 5 patients, the middle adrenal artery in 8 patients, the inferior adrenal artery in one patient and more than one adrenal artery in 3 patients. No procedure-related major complications occurred and no patients had infarctions, necrosis, abscess formation, or required long-term steroid supplementation. Conclusions: Acute adrenal hemorrhages can be safely and effectively managed by catheter directed embolizations; the source of bleeding has to be carefully investigated at CT and angiography because adrenal glands present with a wide and complex vascular arterial network. %U https://gs.amegroups.org/article/view/22026 %V 8 %N 2 %P 115-122 %@ 2227-8575