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Transcatheter Arterial Embolization for Postoperative Bleeding Following Abdominal Surgery
Shohei Chatani1, Akitoshi Inoue2, Shinichi Ohta3
1Department of Radiology, Shiga University of Medical Science, Seta Tsukinowa, Otsu, Shiga, 520-2192, Japan. chatanis@belle.shiga-med.ac.jp.
Cardiovascular and Interventional Radiology
|June 30, 2018
Summary
Transcatheter arterial embolization (TAE) is a safe and effective treatment for postoperative abdominal bleeding. This study found TAE successful even in unstable patients and those with pancreatic fistulas.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Gastrointestinal Surgery
Background:
- Postoperative abdominal hemorrhage is a serious complication.
- Transcatheter arterial embolization (TAE) is a minimally invasive treatment option.
Purpose of the Study:
- To evaluate the effectiveness of TAE for postoperative abdominal hemorrhage.
- To assess the impact of pancreatic fistula on TAE outcomes.
Main Methods:
- Retrospective analysis of 22 patients (28 procedures) undergoing TAE for postoperative hemorrhage.
- Comparison of outcomes between patients with and without pancreatic fistula.
Main Results:
- High technical (96%) and clinical (82%) success rates for TAE.
- Successful TAE in hemodynamically unstable patients (92% technical success).
- No significant difference in outcomes based on the presence of pancreatic fistula.
Conclusions:
- TAE is a safe and effective treatment for postoperative abdominal hemorrhage.
- Pre-interventional CT aids in planning and executing TAE procedures.
- TAE is viable for patients with hemodynamic instability and pancreatic fistula.
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