Complex Application of Minimally Invasive Methods for the Treatment of Complicated Acute Severe Pancreatitis

Abstract

Percutaneous interventions for the purpose of sanation of cavities of pancreatogenic destruction can be one of the ways to treat pancreatic necrosis. This leads to a rapid cleansing of the cavities and is an objective method of monitoring the stages of treatment. We present a case of successful treatment of infected pancreatic necrosis using minimally invasive, percutaneous, X-ray endovascular methods. Procedures performed: superselective embolization of the upper and lower pancreaticoduodenal arteries, embolization of the gastroduodenal artery, embolization of the splenic artery, selective catheterization and embolization of the left gastric artery with microemboli and coils.

Keywords

• pancreas
• acute pancreatitis
• pancreatic necrosis
• parapancreatitis
• percutaneous drainage
• endoscopic sequestrectomy
• endovascular surgery