Background. Splanchnic artery bleeding is a life-threatening condition, especially in high-risk patients. The purpose of this study is to evaluate the efficacy 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.

Endovascular management of splanchnic arteries bleeding in pancreato-biliary disease

D'ONOFRIO, Mirko;MANSUETO, Giancarlo;VASORI, Simone;PROCACCI, Carlo
2002

Abstract

Background. Splanchnic artery bleeding is a life-threatening condition, especially in high-risk patients. The purpose of this study is to evaluate the efficacy 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.
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11562/538549
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 2
  • ???jsp.display-item.citation.isi??? ND
social impact