Angiographic diagnosis and transcatheter therapy of hemorrhage after cholecystectomy
- VernacularTitle:胆囊切除术后出血的血管造影与介入治疗体会
- Author:
Bing XIAO
;
Wei ZHAO
;
Jianqiong SONG
;
Dongying ZHANG
- Publication Type:Journal Article
- Keywords:
Cholecystectomy;
Hemorrhage;
Angiography;
Embolization
- From:
Journal of Interventional Radiology
2006;0(10):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of angiographic diagnosis and effectiveness of transcatheter therapy in hemorrhage after cholecystectomy. Methods The site and cause of hemorrhage after cholecystectomy were verified by selective DSA in 5 patients and then followed by treatment with target artery embolization. The cause of hemorrhage after cholecystectomy wasn't verified by selective DSA in 4 patients,surgical resection was then carried out. Results Nine cases had hemorrhage with various degrees after cholecystectomy. 55.56% of them were arterial hemorrhage identified by angiography,including 5 cases treated with target artery embolization effectively without any other important complication. The other cases were cured by abdominal exploring operation totally belonged to venous hemorrhage. Conclusion DSA and interventional therapy are of great value for arterial hemorrhage after cholecystectomy,especially the method of embolization is safe and efficient.(J Intervent Radiol,2007,16: 696-698)