Selective arterial embolization for the treatment of arterial hemobilia after biliary tract surgery:an analysis of therapeutic results
- VernacularTitle:选择性动脉栓塞治疗胆道术后动脉出血的疗效分析
- Author:
Haitao LI
;
Hao XIE
;
Jian DOU
;
Wenjuan WU
;
Bin CHAI
- Publication Type:Journal Article
- Keywords:
biliary tract;
hemorrhage;
selective angiography;
embolization
- From:
Journal of Interventional Radiology
2006;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and efficacy of selective arterial embolization for the treatment of hemobilia occurred after biliary tract surgery.Methods The clinical data of 16 patients with massive hemobilia after biliary tract operation,who were treated in our hospital during the period from March 1989 to August 2009,were retrospectively analyzed.Conservative treatment of hemobilia was initially adopted in all patients,and,if it failed,interventional management was carried out.Emergent artery angiography was performed in all patients,which was followed by selective arterial embolization of the bleeding arteries with Gelfoam particles and coils.Results Of the total 16 cases,15 received selective arterial embolization therapy and the remaining one died.No re-bleeding occurred during a follow-up period of 8 months to 3 years.Conclusion For the treatment of arterial hemobilia occurred after biliary tract surgery,selective arterial embolization with Gelfoam particles and coils is a safe,mini-invasive and effective therapy with few complications.
