Transcatheter arterial embolization in treatment of severe acute pancreatitis complicated with hemorrhagic pseudoaneurysm / 中国介入影像与治疗学
Chinese Journal of Interventional Imaging and Therapy
;
(12): 323-327, 2019.
Artigo
em Chinês
| WPRIM
| ID: wpr-862118
ABSTRACT
Objective:
To investigate the value of transcatheter arterial embolizaiton (TAE) in treatment of severe acute pancreatitis (SAP) complicated with hemorrhagic pseudoaneurysm.Methods:
TAE was performed in 13 patients with SAP complicated with ruptured pseudoaneurysm. DSA findings and embolization of pseudoaneurysm were analyzed.Results:
There were 15 pseudoaneurysms in 13 patients, including 13 infective pseudoaneurysms and 2 corrosive pseudoaneurysms. The responsible arteries included splenic artery in 6 lesions (6/15, 40.00%), superior mesenteric artery in 5 lesions (5/15, 33.33%), gastroduodenal artery in 2 lesions (2/15, 13.33%), inferior mesenteric artery in 1 lesion (1/15, 6.67%) and right gastroomental artery in 1 case (1/15, 6.67%). The technical success rate of TAE was 93.33% (14/15). One case developed splenic abscess after TAE and was treated with puncture drainage and anti-infection measures. The mortality rate of patients with infective pseudoaneurysms was 45.45% (5/11). No death occurred in corrosive pseudoaneurysm patients. Recurrent bleeding rate after TAE was 15.38% (2/13).Conclusion:
TAE is an effective method for treatment of SAP complicated with ruptured pseudoaneurysm.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Chinês
Revista:
Chinese Journal of Interventional Imaging and Therapy
Ano de publicação:
2019
Tipo de documento:
Artigo
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