ArticleCardiovascular and interventional radiology2026
Does this Need Embolisation? Arterial Bleeding at Anatomically Compressible Sites.
Article in Cardiovascular and interventional radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Computed Tomography-Proven Active Bleeding with Negative Emergency Angiography: Early Mortality Predictors and Development of the Negative Angiography Bleeding-Lethality Score.Cardiovascular and interventional radiology · 2026Article
- Assessing the Utility and Safety of Intravenous Iodinated Contrast Media in CT 'Pan Scan' Studies in Geriatric Patients Following Low-Energy Blunt Trauma.Journal of medical imaging and radiation oncology · 2026Article
- When to Compress an "Active" Arterial Bleeding? Spread the Word.Cardiovascular and interventional radiology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the efficacy of conservative management for haematomas that demonstrate arterial bleeding, in anatomical regions of the body that are compressible against a firm bony landmark.
methodsSingle-centre retrospective cohort study of patients presenting with arterial bleeding managed conservatively or with either endovascular embolisation or surgical intervention. Patients who were identified to have a CT confirmed haematoma with arterial bleeding, in an anatomical location deemed compressible were included. Conservative management included compression, ice, anticoagulation reversal, and fluid resuscitation. Conservative management was deemed successful if no further intervention was required. Clinical outcomes measured included success of conservative management, length of hospital stay, and 30-day all-cause mortality.
results256 patients were included with a mean age of 60 years (SD 21.2). The most common location of bleeding was gluteal (37%) and the most common cause for bleeding was motor vehicle accidents (42%). 67% of cases were managed conservatively as the primary management. Overall, 92.2% of patients were successfully treated with the primary management of choice, with no significant difference between patients managed conservatively or with intervention (92.4% vs. 91.8%, p = 0.43). Subgroup analysis of patients presenting in acute shock also demonstrated no significant difference between the conservatively managed group and the group managed with intervention (88% vs. 95% success, p = 0.26). The intervention group were more clinically unwell at presentation and had a higher 30-day all-cause mortality (p = < 0.001). There was no significant difference in hospital length of stay.
conclusionConservative management for arterial bleeding in anatomically compressible sites has a high success rate.
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Registered trials
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