Comparative Hemorrhage Efficacy of Transcatheter Artery Embolization and Intravascular Covered Stent Im-plantation on Patients after Hepatopancreatobiliary Surgery
- VernacularTitle:血管内覆膜支架置入与动脉栓塞治疗肝胆胰外科术后出血的疗效对比
- Author:
Ningjia SHEN
1
;
Yinghe QIU
;
Song SHI
;
Yongjie NG ZHA
Author Information
1. 第二军医大学附属东方肝胆外科医院胆道二科
- Keywords:
Postoperative hemorrhage;
Transcatheter artery embolization;
Stent
- From:
Chinese Journal of Clinical Medicine
2014;(3):331-333
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the hemorrhage efficacy of transcatheter artery embolization (TAE) and intravascular cov-ered stent implantation on patients after hepatopancreatobiliary surgery .Methods :A retrospective study of 28 patients with hemorrhage after surgery from May 2008 to Jan 2013 was undertaken .The hemorrhage efficacy of two modalities was com-pared .Results:In 17 patients treated with TAE ,9 patients stopped bleeding ,the success rate was 52 .9% ,5 patients had an open surgical hemostasis ,the reoperation rate was 29 .4% ;the survival rate was 35 .4% (6/17) .In 11 patients treated with in-travascular covered stent implantation ,10 patients stopped bleeding ,the success rate was 90 .9% ;1 patient had an open surgical hemostasis ,the reoperation rate was 9 .1% ;the survival rate was 81 .8% (9/11) .There were significant differences in the suc-cess rate and the survival rate(P<0 .05) ,but not in the reoperation rate .Cox regression analysis showed that group ,reopera-tion and stopped bleeding significantly influenced the survival rate .Conclusions :Compared with TAE ,intravascular covered stent implantation is a safe and effective treatment for patients with hemorrhage after surgery .
