Transcatheter embolization of pseudoaneurysms complicating pancreatitis

Jafar Golzarian, Nicole Nicaise, Jacques Devière, Marc Ghysels, Didier Wery, Luc Dussaussois, Daniel Van Gansbeke, Julien Struyven

Research output: Contribution to journalArticlepeer-review

65 Scopus citations

Abstract

Purpose: To evaluate the therapeutic role of angiography in patients with pseudoaneurysms complicating pancreatitis. Methods: Thirteen symptomatic pseudoaneurysms were treated in nine patients with pancreatitis. Eight patients had chronic pancreatitis and pseudocyst and one had acute pancreatitis. Clinical presentation included gastrointestinal bleeding in seven patients and epigastric pain without bleeding in two. All patients underwent transcatheter embolization. Results: Transcatheter embolization resulted in symptomatic resolution in all patients. Rebleeding occurred in two patients, 18 and 28 days after embolization respectively, and was successfully treated by repeated emnbolization. One patient with severe pancreatitis died from sepsis 28 days after embolization. Follow-up was then available for eight patients with no relapse of bleeding after a mean follow- up of 32 months (range 9-48 months). Conclusion: Transcatheter embolization is safe and effective in the management of pseudoaneurysms complicating pancreatitis.

Original languageEnglish (US)
Pages (from-to)435-440
Number of pages6
JournalCardiovascular and Interventional Radiology
Volume20
Issue number6
DOIs
StatePublished - Nov 1 1997

Keywords

  • Aneurysm, therapy
  • Angiography
  • Arteries, therapeutic blockade
  • Pancreas, interventional procedure
  • Pancreatitis

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