Hepatic Infarction following Hepatic Artery Embolization for Iatrogenic Hepatic Arterial Hemorrhage
Korean Journal of Hepato-Biliary-Pancreatic Surgery
;
: 127-130, 2009.
Article
in Korean
| WPRIM
| ID: wpr-193895
ABSTRACT
BACKGROUND:
Hepatic artery embolization for the treatment of iatrogenic biliary hemorrhage is a safe and effective alternative to open surgery. However, treatment with hepatic artery embolization can lead to hepatic ischemia or infarction.PURPOSE:
To examine the site, frequency and clinical presentation of hepatic ischemia following selective hepatic artery embolization. MATERIAL &METHODS:
We reviewed medical records of 11 hepatic ischemia patients on a retrospective basis, who received treatment between January 1997 to March 2009.RESULTS:
Primary disease in 11 cases were early gastric cancer in 3 cases, chronic recurrent pancreatitis in 2 cases, choledochal cyst in 2 cases, chronic calculus cholecystitis in 2 cases, GB cancer in 1 case and recurrent HCC in 1 case. In all cases, embolized material was coil. Five cases (45.5%) resulted in hepatic abscesses and managed with percutaneous drainage, but 4 cases were died.CONCLUSION:
Hepatic artery embolization is an effective method for the treatment of iatrogenic hepatic artery hemorrhage, but it has a high mortality due to liver infarction. For this reason, superselective embolization, or stent insertion, should be considered in high risk patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatitis
/
Stomach Neoplasms
/
Calculi
/
Choledochal Cyst
/
Stents
/
Drainage
/
Cholecystitis
/
Medical Records
/
Retrospective Studies
/
Hemorrhage
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Hepato-Biliary-Pancreatic Surgery
Year:
2009
Type:
Article
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