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Microcatheter embolization of hemorrhages
S K Seppänen1, M J Leppänen, G Pimenoff
1Department of Radiology, Tampere University Hospital, Finland.
Cardiovascular and Interventional Radiology
|May 1, 1997
Summary
Microcatheter embolization effectively stops bleeding in 90% of patients with diverse hemorrhages. This minimally invasive procedure offers a safe and efficient treatment option for various bleeding sources.
Area of Science:
- Interventional Radiology
- Vascular Surgery
Background:
- Hemorrhage from various anatomical locations presents significant clinical challenges.
- Effective hemostasis is crucial for patient outcomes.
Purpose of the Study:
- To assess the efficacy and safety of microcatheter-guided embolotherapy for diverse bleeding sources.
Main Methods:
- A cohort of 29 patients with bleeding from epistaxis, gastrointestinal, renal, pelvic, and shoulder sites underwent embolization.
- Microcatheters (Tracker-18 or Tracker-10) were advanced distally through a guiding catheter.
- Polyvinyl alcohol microparticles and/or platinum microcoils were utilized as embolic agents.
Main Results:
- Successful bleeding control was achieved in 90% (26/29) of patients.
- The treatment was curative in 66%, preoperative in 7%, and palliative in 17% of cases.
- Three clinical failures were reported.
Conclusions:
- Microcatheter embolization is a highly effective and safe therapeutic modality.
- It provides a versatile solution for managing hemorrhage from multiple etiologies and sites.