{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T21:12:07Z","timestamp":1723237927265},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,9,30]],"date-time":"2013-09-30T00:00:00Z","timestamp":1380499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ther Apher Dial"],"published-print":{"date-parts":[[2014,6]]},"abstract":"Abstract<\/jats:title>The incidence of acute massive hemorrhage in hemodialysis (HD<\/jats:styled-content>) patients is thought to be higher than in healthy individuals, and a large, expanding subcutaneous hematoma can result in necrosis of the overlying skin. We evaluated the efficacy of intra\u2010arterial treatment for acute massive subcutaneous hemorrhage in HD<\/jats:styled-content> patients. Seven HD<\/jats:styled-content> patients with subcutaneous hemorrhage following minor blunt trauma were treated using superselective transarterial embolization, between J<\/jats:styled-content>uly 2005 and O<\/jats:styled-content>ctober 2012. After examining the site of the hemorrhage using contrast\u2010enhanced computed tomography (CT<\/jats:styled-content>), embolizations were performed using microcoils, gelatin sponges, or N<\/jats:styled-content><\/jats:italic>\u2010butyl cyanoacrylate. Hematoma evacuation or skin grafting was performed as needed. Four men and three women with a mean age of 70 years (range, 63\u201382 years) comprised the study population. Sites of bleeding were as follows: lower leg (N<\/jats:italic>\u2009=\u20093), upper leg (N<\/jats:italic>\u2009=\u20091), buttock (N<\/jats:italic>\u2009=\u20091), precordia (N<\/jats:italic>\u2009=\u20091), and forearm (N<\/jats:italic>\u2009=\u20091). Blood transfusions were administered to five cases. All patients were successfully salvaged using transarterial embolization. Six patients underwent hematoma evacuation after transarterial embolization, and two patients underwent split\u2010thickness skin grafting for skin necrosis. We established a treatment strategy for HD<\/jats:styled-content> patients with acute subcutaneous hemorrhage. Immediate confirmation of the site and the degree of bleeding with contrast\u2010enhanced CT<\/jats:styled-content> and early treatment using the transarterial embolization and as needed, hematoma evacuation are effective for preventing skin necrosis in HD<\/jats:styled-content> patients with acute subcutaneous hemorrhage.<\/jats:p>","DOI":"10.1111\/1744-9987.12106","type":"journal-article","created":{"date-parts":[[2013,10,12]],"date-time":"2013-10-12T01:40:38Z","timestamp":1381542038000},"page":"284-290","source":"Crossref","is-referenced-by-count":1,"title":["Intra\u2010Arterial Treatment for Massive Subcutaneous Hemorrhage in Hemodialysis Patients"],"prefix":"10.1111","volume":"18","author":[{"given":"Masataka","family":"Banshodani","sequence":"first","affiliation":[{"name":"Department of Artificial Organs Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Kawanishi","sequence":"additional","affiliation":[{"name":"Department of Artificial Organs Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Misaki","family":"Moriishi","sequence":"additional","affiliation":[{"name":"Department of Artificial Organs Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadanori","family":"Shintaku","sequence":"additional","affiliation":[{"name":"Department of Artificial Organs Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyasu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Radiology Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Artificial Organs Akane\u2010Foundation Tsuchiya General Hospital Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2002.3793"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.2106\/00004623-199072100-00016","article-title":"Aspiration of hematomas with liposuction apparatus. 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