THE EFFICACY OF EMBOLIZATION IN THE TREATMENT OF NON-TRAUMATIC VISCERAL ARTERIAL PSEUDOANEURYSM

Nguyen Van Tuan1, Professor Pham Minh Thong1, Tran Van Luong2, Le Van Khang2, Trinh Ha Chau2, Nguyen Thi To Ngan2, Dr Vu Dang Luu1
1 Hanoi Medical University
2 Bach Mai Hospital

Main Article Content

Abstract

Objective: to apply and estimate the efficacy of embolization in non traumatic visceral arterial pseudoaneurysm.


Subject and method: Twenty-seven patients underwent angiography and embolization at Bachmai hospital from 7/2020 to 7/2022.


Result: In 27 patients (20 males & 07 females), 09 patients show extravasation in DSA. The splenic artery and the superior mesenteric artery are the arteries most commonly with visceral arterial pseudoaneurysms. Of the 27 patients studied, 24 had technical success in the first intervention, one required secondary intervention because of rebleeding and it was successfully treated by reintervention, one required ileectomy after embolisation due to ongoing hemorrhage, one patient died from uncontrolled blood transfusion shock.


Conclusion: In hemodynamically stable and controlled patients, selective and super selective embolization is a safe and effective method for managing non traumatic visceral arterial pseudoaneurysm.

Article Details

References

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