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Endovascular management of splanchnic arteries bleeding in pancreato-biliary diseaseD'Onofrio, Mirko ...Background. Splanchnic artery bleeding is a life-threatening condition, especially in high-risk patients. The purpose of this study is to evaluate theefficacy of endovascular treatment of splanchnic ... artery bleeding in pancreato-biliary disease, considered as survival at the 3-month follow-up. Patients and methods. From 1992 to 2001 39 patients with upper splanchnic arterial lesion due to acute and chronic pancreatitis after surgery or percutaneous procedures, or as a complication of aneurysms or trauma, were treated using endovascular techniques. The patients underwent CT control immediately after the procedure, after seven days and then at the 3, 6 and 12-month follow-up. Results. In some patients, more than one angiography was necessary to identify the source of bleeding. Bleeding was stopped in all treated patients. Fatal re-bleeding occurred in 6 patients and, in the first part of the study, 2 patients died of hepatic failure after hepatic artery embolization. Conclusions. Splanchnic artery bleeding is a life-threatening condition. Endovascular treatment can reach a clinical success rate of up to 75% at three months.Vir: Radiology and oncology. - ISSN 1318-2099 (Vol. 36, no. 4, dec. 2002, str. 281-290)Vrsta gradiva - prispevek na konferenciLeto - 2002Jezik - angleškiCOBISS.SI-ID - 15877849
Avtor
D'Onofrio, Mirko |
Mansueto, Giancarlo |
Gasparini, Anna |
Vasori, Simone |
Falcon, Massimo |
Procacci, Carlo
Teme
Splanchnic Circulation |
Pancreatitis |
Complications |
Biliary Tract Diseases |
Surgery |
Complications |
Hemorrhage |
Therapy |
Embolization, Therapeutic |
Mesenteric Arteries |
Radiography |
Liver Circulation |
Biliarni trakt, bolezni |
Embolizacija terapevtska |
Krvavitev |
Pankreatitis |
Splanhnični obtok |
Jetrni obtok |
Mezenterične arterije |
jetra |
trebušna slinavka |
krvavitev |
arterije |
endovaskularno zdravljenje
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