Possibilities of roentgenendovascular interventions in massive arosive hemorrhage on background of acute destructive pancreatitis

Abstract

Objective. To estimate the efficacy of roentgenendovascular interventions in massive arosive hemorrhage in patients with an acute destructive pancreatitis. Materials and metods. Roentgenendovascular interventions were performed in 9 patients, in whom massive arosive hemorrhage as complication of acute destructive pancreatitis have occurred. Results. In immediate term the hemorrhage have finished in all 9 (100%) patients. On the second day in 2 patients, to whom embolization of a. hepatis propria was performed, the hemorrhage recurrence have occurred. Secondary angiography and the embolizations attemps were not effective, both women-patients died. In the patients, in whom embolization of pancreatico-duodenal and splenic arteries was done, the hemorrhage did not recurred. Thus, we obtained good results - of 9 patients 7 (77.8%) were curated, not depending on their status severity and unfavorable prognosis. Conclusion. Following a tactics adduced in treatment of hemorrhage in acute destructive pancreatitis it have demonstrated a high efficacy, especially in superselective embolization with the hemorrhage origin revealing.

Keywords

• acute destructive pancreatitis; roentgenendovascular interventions; arrosive hemorrhage.