Zhiwei Wang MD, Presenter: Nothing to Disclose

Xiaoguang Li MD, Abstract Co-Author: Nothing to Disclose

Zhengyu Jin MD, Abstract Co-Author: Nothing to Disclose

To retrospectively evaluate the feasibility and effectiveness of transarterial embolization for management of postoperative massive hemorrhage in patients with abdominal tumors.

Thirty-eight patients (23 men, 15 women; mean age, 55 years) with abdominal tumors (tumors of stomach, pancreas, small intestine and kidney) were referred for angiography because of gastrointestinal or intra-abdominal bleeding requiring immediate correction of the hemodynamic parameters substances after surgery in our hospital between January 2003 and December 2009. Urgent angiography was performed in all 38 patients. The clinical and angiographic features were retrospectively analyzed.

Angiography revealed a discrete bleeding focus in 33 (87%) of 38 patients. Transarterial embolization was performed using coils with or without gelatin sponge in 29 (88%) of 33 patients with a discrete bleeding focus, and the other four patients had underwent surgical therapy for the bleeding vessel could not be selected by microcatheter. Technical success (bleeding target devascularization) was achieved in all patients who underwent embolization therapy. Rebleeding occurred in six (21%) of 29 patients within 72 h of the initial procedure, angiograms were performed and different bleeding vessels were found. They were technically successfully managed with repeat embolization. Two patients still bled after repeat embolization and died for disseminated intravascular coagulopathy. There was no procedure-related complication during follow-up period (1-21 months). Clinical success was achieved in 23 (79%) of 29 patients after a single embolization and in 27 (93%) of 29 patients after repeat embolization.

Transarterial embolization is safe and effective for postoperative massive hemorrhage in patients with abdominal tumors.

Transarterial embolization should be the first-line therapy for postoperative massive hemorrhage in patients with abdominal tumors.

Wang, Z, Li, X, Jin, Z, Transarterial Embolization for Postoperative Massive Hemorrhage in Patients with Abdominal Tumors.  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9007750.html