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Embolization of Emergent Bleeding

One of the core principles of surgery remains hemostasis or the ability to stop bleeding. Sometimes patients are bleeding from traumatic events such as a car accident or gunshot wounds. Other times, patients are bleeding internally from intestinal bleeding or a ruptured aneurysm. Regardless of the source, vascular surgeons, along with the rest of the patient team, remain a key to stop bleeding and prevent exsanguination and death. While everyone knows that the first step to stop external bleeding is to apply pressure at the site of bleeding, sometimes this isn’t enough. Trauma surgeons will actively tie off bleeding vessels. However, if getting to the bleeding vessel isn’t possible without creating more tissue damage or the patient can’t tolerate a surgical procedure they will turn to the vascular surgeon for embolization.

Embolization means intentionally blocking blood flow to halt a pathologic bleeding. This is done endovascularly without the need for open surgery.

  • Uterine Embolization –On occasion, uterine bleeding after childbirth is unresponsive to standard treatments. Uterine embolization can stop the bleeding and preserve fertility without the need for a hysterectomy in many cases.
  • Gastrointestinal Embolization – Similarly, in patients with extensive gastrointestinal bleeding embolization can often stop the hemorrhage. Often, these patients are very ill and unable to tolerate open surgery. Embolization may be definitive treatment or a bridge to open surgery once the patient is adequately resuscitated.
  • Pelvic Vein Embolization – In a trauma situation, such as a car accident, pelvic veins are often injured. Usually, this kind of bleeding will stop on its own. However, if the damage is extensive or the patient suffered pelvic fractures, it may not. Coiling or placing a plug endovascularly can help stop the bleeding.

Regardless of the cause, the basics of embolization are performed the same way. First, a small IV is placed, usually in the groin. Multiple pictures are taken using radio-opaque dye to determine anatomy and the area of bleeding. Once the area of bleeding is located, a small catheter is maneuvered to the area of bleeding coils, glue or other occlusive means are deployed to stop the bleeding. The timing of the procedure is crucial to optimal patient outcome. Physicians work together as a team to ensure appropriate treatment.

Embolization of emergent bleeding is usually performed under stressful conditions and requires a fast, experienced vascular surgeon to maximize the potential for success. The factors influencing the outcome of this emergent procedure include the experience of the surgeon, the degree of blood loss, and the capabilities of the hospital. Patients should rely on a spectacular vascular surgeon to perform this high-risk procedure. Dr. Jenna Kazil is a remarkable experienced vascular surgeon in Bradenton, FL, who operates on patients from Hillsborough, Manatee, Pinellas, and Sarasota counties. Dr. Kazil realizes emergent embolization requires both speed and calm under stress. Patients looking for a top vascular surgeon should contact Dr. Kazil at the Florida Surgical Clinic for all of their surgical and vascular needs.

Patients in need of an embolization surgery on Florida’s West Coast should locate an excellent board-certified vascular surgeon who has the surgical skills necessary to perform these serious surgical operations for the benefit of their patients. Dr. Kazil realizes that embolization is a common procedure used in a variety of locations. Over her years in practice, Dr. Jenna Kazil has performed this procedure in numerous locations and possesses the best experience necessary to handle even the most challenging of procedures. Dr. J. Kazil is a top double board-certified vascular surgeon who has developed an impressive track record of successful cases in embolization surgeries. Dr. Kazil understands the important circumstances that drive the treatment with the accuracy and compassion that everyone expects from a superb vascular surgeon. Dr. Jenna Kazil is one of the best vascular surgeons who performs embolization surgeries at various hospitals located in Manatee, Hillsborough, and Osceola counties. Jenna Kazil, MD, RPVI is an excellent surgical specialist working as a general surgeon and vascular surgeon seeing patients from South Sarasota to East Desoto and Hardee to North Hillsborough to West Manatee and Pinellas counties. Patients requiring an embolization surgery should contact Dr. Kazil at the Florida Surgical Clinic located in Bradenton, FL today to schedule an appointment with an ultimate experienced doctor that possesses a unique blend of expert skills and compassionate care.