Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases
Purpose To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications. Methods During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight...
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| Veröffentlicht in: | Abdominal imaging 2016-09, Vol.41 (9), p.1782-1792 |
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| creator | Kickuth, Ralph Hoppe, Hanno Saar, Bettina Inderbitzin, Daniel Triller, Jürgen Raessler, Susanne Gschossmann, Jürgen |
| description | Purpose
To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications.
Methods
During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight patients were treated using microcatheters and 6 patients with a diagnostic catheter. Embolic agents included coils (
n
= 38), polyvinyl alcohol (PVA) particles (
n
= 2), isobutyl cyanoacrylate (
n
= 2), coils plus PVA particles (
n
= 1), and coils plus isobutyl cyanoacrylate (
n
= 1). Outcome measures included technical success, clinical success, and the rate of complications.
Results
Identified bleeding sources included gastroduodenal artery (
n
= 14), splenic artery (
n
= 9), pancreaticoduodenal artery (
n
= 6), common hepatic artery (
n
= 5), superior mesenteric artery branches (
n
= 4), proper hepatic artery (
n
= 3), and dorsal/transverse pancreatic artery (
n
= 3). Technical success with effective control of active bleeding was achieved in 41/44 patients (93 %). Clinical success attributed to TAE alone was documented in 40/44 patients (91 %). The rate of major complications was 2 % including death in one patient.
Conclusions
Superselective TAE allows effective, minimally invasive control of acute peripancreatic bleeding complications with a low rate of therapeutically relevant complications. |
| doi_str_mv | 10.1007/s00261-016-0772-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1814662762</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4253156111</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-e27ce3bc717edc1b123cb00ae6f8278925f0a7a2ca7ec26f53a994b3c14fc46a3</originalsourceid><addsrcrecordid>eNp1kU9rFTEUxYNYbGn7AdxIwI2b0dzMTDLPnZT6BwouquAu3LnvTpsykxmTTItu_eLm-WoRoVkkN9zfOTfkCPEc1GtQyr5JSmkDlQJTKWt1BU_Eka5Nuam2e_pQN98OxWlKN0oVsgXQ7TNxqC10u3Ukfl2uC8fEI1P2tyxzxJAI8zVnjhJj2T2Okqd-Hv1PzH4O0ge5lIpDTvLO52uJtGaWxccvGChyaZLsR-atD1eS5mkZPf3Rprcy8q3nOzkPsmkkYeJ0Ig4GHBOf3p_H4uv78y9nH6uLzx8-nb27qKi2OlesLXHdkwXLW4IedE29Ushm6LTtNrodFFrUhJZJm6GtcbNp-pqgGagxWB-LV3vfJc7fV07ZTT4RjyMGntfkoIPGGG2NLujL_9CbeY2hvK5Qjeq6trOqULCnKM4pRR7cEv2E8YcD5XYhuX1Irny924XkoGhe3Duv_cTbB8XfSAqg90AqrXDF8Z_Rj7r-BpqDnz0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1840885870</pqid></control><display><type>article</type><title>Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases</title><source>MEDLINE</source><source>Springer Online Journals</source><creator>Kickuth, Ralph ; Hoppe, Hanno ; Saar, Bettina ; Inderbitzin, Daniel ; Triller, Jürgen ; Raessler, Susanne ; Gschossmann, Jürgen</creator><creatorcontrib>Kickuth, Ralph ; Hoppe, Hanno ; Saar, Bettina ; Inderbitzin, Daniel ; Triller, Jürgen ; Raessler, Susanne ; Gschossmann, Jürgen</creatorcontrib><description>Purpose
To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications.
Methods
During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight patients were treated using microcatheters and 6 patients with a diagnostic catheter. Embolic agents included coils (
n
= 38), polyvinyl alcohol (PVA) particles (
n
= 2), isobutyl cyanoacrylate (
n
= 2), coils plus PVA particles (
n
= 1), and coils plus isobutyl cyanoacrylate (
n
= 1). Outcome measures included technical success, clinical success, and the rate of complications.
Results
Identified bleeding sources included gastroduodenal artery (
n
= 14), splenic artery (
n
= 9), pancreaticoduodenal artery (
n
= 6), common hepatic artery (
n
= 5), superior mesenteric artery branches (
n
= 4), proper hepatic artery (
n
= 3), and dorsal/transverse pancreatic artery (
n
= 3). Technical success with effective control of active bleeding was achieved in 41/44 patients (93 %). Clinical success attributed to TAE alone was documented in 40/44 patients (91 %). The rate of major complications was 2 % including death in one patient.
Conclusions
Superselective TAE allows effective, minimally invasive control of acute peripancreatic bleeding complications with a low rate of therapeutically relevant complications.</description><identifier>ISSN: 2366-004X</identifier><identifier>EISSN: 2366-0058</identifier><identifier>DOI: 10.1007/s00261-016-0772-1</identifier><identifier>PMID: 27188888</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Embolization, Therapeutic ; Gastroenterology ; Hemorrhage ; Hepatic Artery ; Hepatology ; Humans ; Imaging ; Medicine ; Medicine & Public Health ; Pancreas ; Radiology ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Abdominal imaging, 2016-09, Vol.41 (9), p.1782-1792</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>Abdominal Radiology is a copyright of Springer, 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-e27ce3bc717edc1b123cb00ae6f8278925f0a7a2ca7ec26f53a994b3c14fc46a3</citedby><cites>FETCH-LOGICAL-c372t-e27ce3bc717edc1b123cb00ae6f8278925f0a7a2ca7ec26f53a994b3c14fc46a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00261-016-0772-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00261-016-0772-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27188888$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kickuth, Ralph</creatorcontrib><creatorcontrib>Hoppe, Hanno</creatorcontrib><creatorcontrib>Saar, Bettina</creatorcontrib><creatorcontrib>Inderbitzin, Daniel</creatorcontrib><creatorcontrib>Triller, Jürgen</creatorcontrib><creatorcontrib>Raessler, Susanne</creatorcontrib><creatorcontrib>Gschossmann, Jürgen</creatorcontrib><title>Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases</title><title>Abdominal imaging</title><addtitle>Abdom Radiol</addtitle><addtitle>Abdom Radiol (NY)</addtitle><description>Purpose
To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications.
Methods
During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight patients were treated using microcatheters and 6 patients with a diagnostic catheter. Embolic agents included coils (
n
= 38), polyvinyl alcohol (PVA) particles (
n
= 2), isobutyl cyanoacrylate (
n
= 2), coils plus PVA particles (
n
= 1), and coils plus isobutyl cyanoacrylate (
n
= 1). Outcome measures included technical success, clinical success, and the rate of complications.
Results
Identified bleeding sources included gastroduodenal artery (
n
= 14), splenic artery (
n
= 9), pancreaticoduodenal artery (
n
= 6), common hepatic artery (
n
= 5), superior mesenteric artery branches (
n
= 4), proper hepatic artery (
n
= 3), and dorsal/transverse pancreatic artery (
n
= 3). Technical success with effective control of active bleeding was achieved in 41/44 patients (93 %). Clinical success attributed to TAE alone was documented in 40/44 patients (91 %). The rate of major complications was 2 % including death in one patient.
Conclusions
Superselective TAE allows effective, minimally invasive control of acute peripancreatic bleeding complications with a low rate of therapeutically relevant complications.</description><subject>Embolization, Therapeutic</subject><subject>Gastroenterology</subject><subject>Hemorrhage</subject><subject>Hepatic Artery</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pancreas</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>2366-004X</issn><issn>2366-0058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU9rFTEUxYNYbGn7AdxIwI2b0dzMTDLPnZT6BwouquAu3LnvTpsykxmTTItu_eLm-WoRoVkkN9zfOTfkCPEc1GtQyr5JSmkDlQJTKWt1BU_Eka5Nuam2e_pQN98OxWlKN0oVsgXQ7TNxqC10u3Ukfl2uC8fEI1P2tyxzxJAI8zVnjhJj2T2Okqd-Hv1PzH4O0ge5lIpDTvLO52uJtGaWxccvGChyaZLsR-atD1eS5mkZPf3Rprcy8q3nOzkPsmkkYeJ0Ig4GHBOf3p_H4uv78y9nH6uLzx8-nb27qKi2OlesLXHdkwXLW4IedE29Ushm6LTtNrodFFrUhJZJm6GtcbNp-pqgGagxWB-LV3vfJc7fV07ZTT4RjyMGntfkoIPGGG2NLujL_9CbeY2hvK5Qjeq6trOqULCnKM4pRR7cEv2E8YcD5XYhuX1Irny924XkoGhe3Duv_cTbB8XfSAqg90AqrXDF8Z_Rj7r-BpqDnz0</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Kickuth, Ralph</creator><creator>Hoppe, Hanno</creator><creator>Saar, Bettina</creator><creator>Inderbitzin, Daniel</creator><creator>Triller, Jürgen</creator><creator>Raessler, Susanne</creator><creator>Gschossmann, Jürgen</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160901</creationdate><title>Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases</title><author>Kickuth, Ralph ; Hoppe, Hanno ; Saar, Bettina ; Inderbitzin, Daniel ; Triller, Jürgen ; Raessler, Susanne ; Gschossmann, Jürgen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-e27ce3bc717edc1b123cb00ae6f8278925f0a7a2ca7ec26f53a994b3c14fc46a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Embolization, Therapeutic</topic><topic>Gastroenterology</topic><topic>Hemorrhage</topic><topic>Hepatic Artery</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pancreas</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kickuth, Ralph</creatorcontrib><creatorcontrib>Hoppe, Hanno</creatorcontrib><creatorcontrib>Saar, Bettina</creatorcontrib><creatorcontrib>Inderbitzin, Daniel</creatorcontrib><creatorcontrib>Triller, Jürgen</creatorcontrib><creatorcontrib>Raessler, Susanne</creatorcontrib><creatorcontrib>Gschossmann, Jürgen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest advanced technologies & aerospace journals</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Abdominal imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kickuth, Ralph</au><au>Hoppe, Hanno</au><au>Saar, Bettina</au><au>Inderbitzin, Daniel</au><au>Triller, Jürgen</au><au>Raessler, Susanne</au><au>Gschossmann, Jürgen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases</atitle><jtitle>Abdominal imaging</jtitle><stitle>Abdom Radiol</stitle><addtitle>Abdom Radiol (NY)</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>41</volume><issue>9</issue><spage>1782</spage><epage>1792</epage><pages>1782-1792</pages><issn>2366-004X</issn><eissn>2366-0058</eissn><abstract>Purpose
To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications.
Methods
During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight patients were treated using microcatheters and 6 patients with a diagnostic catheter. Embolic agents included coils (
n
= 38), polyvinyl alcohol (PVA) particles (
n
= 2), isobutyl cyanoacrylate (
n
= 2), coils plus PVA particles (
n
= 1), and coils plus isobutyl cyanoacrylate (
n
= 1). Outcome measures included technical success, clinical success, and the rate of complications.
Results
Identified bleeding sources included gastroduodenal artery (
n
= 14), splenic artery (
n
= 9), pancreaticoduodenal artery (
n
= 6), common hepatic artery (
n
= 5), superior mesenteric artery branches (
n
= 4), proper hepatic artery (
n
= 3), and dorsal/transverse pancreatic artery (
n
= 3). Technical success with effective control of active bleeding was achieved in 41/44 patients (93 %). Clinical success attributed to TAE alone was documented in 40/44 patients (91 %). The rate of major complications was 2 % including death in one patient.
Conclusions
Superselective TAE allows effective, minimally invasive control of acute peripancreatic bleeding complications with a low rate of therapeutically relevant complications.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27188888</pmid><doi>10.1007/s00261-016-0772-1</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2366-004X |
| ispartof | Abdominal imaging, 2016-09, Vol.41 (9), p.1782-1792 |
| issn | 2366-004X 2366-0058 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1814662762 |
| source | MEDLINE; Springer Online Journals |
| subjects | Embolization, Therapeutic Gastroenterology Hemorrhage Hepatic Artery Hepatology Humans Imaging Medicine Medicine & Public Health Pancreas Radiology Retrospective Studies Treatment Outcome |
| title | Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases |
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