[Interventional treatment of hemobilia]. / Interventionelle Behandlung der Hämobilie.
Rofo
; 166(5): 417-20, 1997 May.
Article
en De
| MEDLINE
| ID: mdl-9198514
ABSTRACT
PURPOSE:
Aim of the study was to assess the use of embolisation in cases of iatrogenic haemobilia.METHOD:
In 18 patients with severe haemobilia after percutaneous biliary system drainage or stent implantation, an embolisation with minicoils (17 x) or gelfoam particles, was performed. To achieve a sufficient vascular obstruction, Histoacryl (4 x) or Ethibloc (1 x) were additionally used in five cases. A transarterial approach was used in 17 cases. In one patient, an approach through the biliary system was possible.RESULTS:
In all cases, the bleeding source was identified (5 false aneurysms, three biliary leaks, 9 irregularities at the junction of the artery and drainage catheter, 1 multiple collaterals at the proximal end of the stent). In 17 out of 18 cases, haemorrhage ceased definitely. In one case of a patient with pancreas carcinoma and obstruction of the portal vein as well as a simultaneous high grade stenosis of the hepatic artery propria, it was only possible to embolise small collaterals to avoid liver necrosis. This resulted in an incomplete bleeding of control. An infected haematoma was the only complication. It was treated by drainage over 10 days. During an observation period ranging approximately 7.6 months, 10 of the patients died due to their basic illness.CONCLUSION:
Embolisation is an effective procedure in the treatment of haemobilia, with a low complication rate.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Embolización Terapéutica
/
Hemobilia
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
De
Revista:
Rofo
Año:
1997
Tipo del documento:
Article