Hepatic Infarction following Hepatic Artery Embolization for Iatrogenic Hepatic Arterial Hemorrhage.
- Author:
Seong Guen HWANG
1
;
Kang Seong KIM
;
Kon Hong KIM
Author Information
1. Department of Surgery, Ulsan Dong Gang Hospital, Ulsan, Korea. grsks@hanmail.net
- Publication Type:Original Article
- Keywords:
Hepatic artery;
Embolization;
Artery injury
- MeSH:
Calculi;
Cholecystitis;
Choledochal Cyst;
Drainage;
Hemorrhage;
Hepatic Artery;
Humans;
Infarction;
Ischemia;
Liver;
Liver Abscess;
Medical Records;
Pancreatitis;
Retrospective Studies;
Stents;
Stomach Neoplasms
- From:Korean Journal of Hepato-Biliary-Pancreatic Surgery
2009;13(3):127-130
- CountryRepublic of Korea
- Language:Korean
-
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.
