Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (3): 483-487.doi: 10.3969/j.issn.1006-7795.2015.03.029

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Safety and efficacy of embolization coils for post-pancreaticoduodenectomy hemorrhage interventional therapy

Li Jie   

  1. Division Ⅱ, Center for Medical Device Evaluation, China Food and Drug Administration, Beijing 100044, China
  • Received:2015-03-30 Online:2015-06-21 Published:2015-06-15

Abstract:

Objective To discuss safety and efficacy of embolization coils for post-pancreaticoduodenectomy hemorrhage interventional therapy. Methods The clinical data about interventional treatment technology and prognosis of 22 patients who were in emergency cases underwent post-pancreaticoduodenectomy bleeding between June 2008 and August 2012 were retrospectively analyzed in Peking University Cancer Hospital. Results In all 22 patients, 5 cases underwent gastrointestinal bleeding, 15 cases of abdominal bleeding, 2 cases had abdominal cavity and gastrointestinal bleeding. Hemorrhage occurred 8 h-72d after surgery. A total of 27 times interventional procedures were involved. The effective rate of interventional techniques was 92.59%, hemostatic rate of the first interventional procedures was 81.82%. Hemostatic rate of the second interventional procedures was 90.91%. There are 2 patients died, 1 patient was repeated hemorrhage because of celiac infection and failed at last, and 1 patient was failed after embolization. Conclusion After to balance the risk-benefit ratio, the embolization therapy is a technique for patients who have post-pancreaticoduodenectomy bleeding in emergency cases.

Key words: embolization coils, post-pancreaticoduodenectomy hemorrhage, safety and efficacy

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