Role of endovascular technique in acute arterial hemorrhage of abdominal organs
10.13929/j.1672-8475.201701022
- VernacularTitle:血管腔内技术在腹腔脏器急性动脉出血中的应用
- Author:
Ziguang YAN
;
Jian WANG
;
Xiaoqiang TONG
;
Li SONG
;
Min YANG
;
Guochen NIU
;
Bihui ZHANG
;
Yinghua ZOU
- Keywords:
Gastrointestinal hemorrhage;
Angiography;
Interventional therapy
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(6):331-334
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effectiveness of endovascular technique in treatment of acute arterial hemorrhage of abdominal organs.Methods Totally 159 cases (145 patients) acute arterial hemorrhage of abdominal organs were enrolled.All patients underwent emergency transarterial angiography.Endovascular treatment by spring coil,gelatin sponge,or covered stent were in 40 cases.The success rate of immediate and long-term hemostasis was judged by the postoperative radiography,symptoms and the changes of vital signs and laboratory results.Results The positive signs in angiography were observed in 47 among the total 159 cases (47/159,29.56％).Seventy-seven postoperative hemorrhage cases underwent angiography and 29 cases (29/77,37.66 ％) were positive,82 non-operative hemorrhage cases underwent angiography and 18 cases (18/82,21.95％) were positive.The difference was statistical significant (P＜0.05).Endovascular treat ment were performed in 40 cases (33 by spring coils,4 by gelatin sponge and 3 by covered stent).Hemorrhages were con trolled immediately in all the 40 cases after embolization and the success rate were 100％.Conclusion Endovascular tech nique is minimal invasive,and it is an effective method for treatment of acute arterial hemorrhage in abdominal organs.
