Transcatheter embolization as primary treatment for visceral pseudoaneurysms in pancreatitis: clinical outcome and imaging follow up.
Article
in English
| IMSEAR
| ID: sea-64397
ABSTRACT
BACKGROUND:
Pseudoaneurysm formation is an uncommon but fatal complication of pancreatitis. The morbidity and mortality associated with surgical management is high. Transcatheter embolization is a definitive minimally invasive form of treatment.AIM:
To review our experience with transcatheter embolization as a therapeutic modality for pseudoaneurysms complicating pancreatitis.METHODS:
This retrospective analysis included data of 30 patients (mean age 37 years, range 25 to 65; 24 men) with visceral pseudoaneurysms secondary to pancreatitis, who underwent diagnostic angiography and transcatheter embolization, during the period March 1993 to February 2003.RESULTS:
In 29 patients the pseudoaneurysms were successfully isolated from the circulation, and hemostasis was achieved. Re-bleeding occurred in one patient, for which re-embolization was done. Twenty-nine patients improved clinically. One patient in whom the pseudoaneurysm was successfully embolized died due to septicemic shock.CONCLUSION:
Endovascular embolization is a safe and effective non-surgical modality of treatment for visceral pseudoaneurysms complicating pancreatitis.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pancreatitis
/
Severity of Illness Index
/
Aged
/
Female
/
Humans
/
Catheterization
/
Angiography
/
Celiac Artery
/
Child
/
Survival Rate
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Year:
2004
Type:
Article
Similar
MEDLINE
...
LILACS
LIS