Superselective hepatic artery angiography and embolization for the treatment of massive hemobilia / 中国普通外科杂志

ABSTRACT

ObjectiveTo evaluate superselective hepatic artery angiography and embolization in the diagnosis and treatment of massive hemobilia. Methods Eight patients with massive hemobilia were admitted from March 1993 to July 2001.All underwent emergent superselective right or left hepatic artery angiography, with the diagnosis being established, and embolization of the hepatic artery branch proximal to the bleeding point. Results Two out of the 8 patients received second embolization for recurrent bleeding, and the bleeding stopped immediately after the embolization in all 8 patients. All patients were alive and without bleeding recurrence at follow up from 2 months to 7 years. Conclusion Superselective hepatic artery angiography and embolization is an effective method in the diagnosis and treatment for massive hemobilia.