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Safety and efficacy of transarterial embolisation for treatment of dorsal pancreatic artery haemorrhage

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Abstract
AIM: To evaluate the safety and efficacy of transarterial embolisation (TAE) of dorsal pancreatic artery (DPA) haemorrhage.

MATERIALS AND METHODS: Nineteen consecutive patients (M:F = 16:3, mean age 59.6 years) who underwent TAE of DPA in three tertiary medical centres between January 2001 to January 2020 were reviewed retrospectively. Angiographic features and the technical and clinical outcomes of TAE were analysed.

RESULTS: The clinical presentations were a bloody drain from the Jackson-Pratt drainage tube (n=8), melaena (n=7), abdominal pain (n=4), and haematochezia (n=3). Angiographic findings included pseudoaneurysm (n=14), contrast media extravasation (n=4), or abrupt cutoff of the arterial branch (n=1). The NBCA (N-butyl-cyanoacrylate; n=4), microcoils (n=4), and a combination of these agents (n=7) were used as embolic agents. The most common origin of the DPA in the present study cohort was the splenic artery (n=7), followed by the coeliac trunk (n=4), common hepatic artery (n=4), and superior mesenteric artery (n=4). Technical and clinical success rates were 100% and 84.2% (16/19), respectively. Of the three clinically unsuccessful cases, two patients were revealed to have newly developed bleeding from another artery. The other patient expired 1 day after the TAE procedure due to a progression of hepatic failure. In one patient, an asymptomatic non-target embolisation occurred in the right posterior tibial artery as a procedure-related complication. No major complications were observed.

CONCLUSION: TAE is safe and effective for the management of bleeding from the DPA. It is important to be aware of the DPA as a potential bleeding source, including the relevant clinical characteristics. (C) 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
Author(s)
김육김종우김평화박수영신지훈이지현조영철추희호A.A. Alhazemi
Issued Date
2021
Type
Article
Keyword
AdultAged80 and overAngiographyArteries / diagnostic imagingComputed Tomography AngiographyTherapeutic / adverse effectsTherapeutic / methods*FemaleHemorrhage / diagnostic imagingHemorrhage / etiologyHemorrhage / therapy*HumansMaleMiddle AgedPancreas / blood supply*Pancreas / diagnostic imagingTreatment Outcome
DOI
10.1016/j.crad.2020.11.111
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7795
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2471458867&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Safety%20and%20efficacy%20of%20transarterial%20embolisation%20for%20treatment%20of%20dorsal%20pancreatic%20artery%20haemorrhage&offset=0&pcAvailability=true
Publisher
CLINICAL RADIOLOGY
Location
영국
Language
영어
ISSN
0009-9260
Citation Volume
76
Citation Number
4
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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