Interventional Radiology of Massive Hemobilia / 介入放射学杂志

ABSTRACT

This paper reports 5 cases of itrogenic massive hemobilia.The bleeding of all the patients was successfully controlled via transcatheter arterial embolization. Our experience has again proved that emergency arteriography is the best method to determine the bleeding site. Transcatheter arterial embolization is easy, rapid, safe, reliable and with minor complication method, and thus should be first choice for treating hemobilia. The embolization should be contraindicated in patients with long-term shock without correction. The contraindicatious include severe hepatic cirrhosis accompanied by liver dysfunction, portal hyperfension with flow impedance.