TY - JOUR T1 - Empirical embolisation for intermittent spontaneous muscle haemorrhage associated with anticoagulation therapy JF - Heart Asia DO - 10.1136/heartasia-2017-010967 VL - 10 IS - 1 SP - e010967 AU - Kenichiro Sawada AU - Osami Kawarada AU - Satoshi Yasuda Y1 - 2018/03/01 UR - http://heartasia.bmj.com/content/10/1/e010967.abstract N2 - As more patients are receiving anticoagulant therapy, spontaneous muscle haemorrhage (SMH) has become a common, potentially life-threatening complication.1 2 However, no standardised approach for SMH has established and intermittent SMH is challenging to manage because of lack of reports.A 77-year-old man with a history of double mechanical heart valve replacement and chronic atrial fibrillation on warfarin complained of sudden onset of painful swelling in the left leg. Contrast-enhanced computed tomography (CT) revealed femoral and crural muscle haemorrhage (figure 1A) despite a moderate intensity of anticoagulation (Prothrombin time-international normalised ratio 2.01). Following blood transfusion for progressive anaemia, urgent angiography including selective angiography demonstrated no evidence of active bleeding. … ER -