Abstract:
PURPOSE:The effectiveness of angiography and embolization in diagnosis and treatment were assessed in a cohort of patients presenting with upper gastrointestinal hemorrhage secondary to hepatic artery pseudoaneurysm following laparoscopic cholecystectomy. METHODS:Over a 6-year period 1513 laparoscopic cholecystectomies were carried out in our region. Nine of these patients (0.6%) developed significant upper gastrointestinal bleeding, 5-43 days after surgery. All underwent emergency celiac and selective right hepatic artery angiography. All were treated by coil embolization of the right hepatic artery proximal and distal to the bleeding point. RESULTS:Pseudoaneurysms of the hepatic artery adjacent to cholecystectomy clips were demonstrated in all nine patients at selective right hepatic angiography. In three patients celiac axis angiography alone failed to demonstrate the pseudoaneurysm. Embolization controlled hemorrhage in all patients with no further bleeding and no further intervention. One patient developed a candidal liver abscess in the post-procedure period. All patients are alive and well at follow-up. CONCLUSION:Selective right hepatic angiography is vital in the diagnosis of upper gastrointestinal hemorrhage following laparoscopic cholecystectomy. Embolization offers the advantage of minimally invasive treatment in unstable patients, does not disrupt recent biliary reconstruction, allows distal as well as proximal control of the hepatic artery, and is an effective treatment for this potentially life-threatening complication.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Nicholson T,Travis S,Ettles D,Dyet J,Sedman P,Wedgewood K,Royston Cdoi
10.1007/s002709900323subject
Has Abstractpub_date
1999-01-01 00:00:00pages
20-4issue
1eissn
0174-1551issn
1432-086Xjournal_volume
22pub_type
临床试验,杂志文章abstract::Aortic stent grafting may be an alternative to surgery for patients with an abdominal aortic aneurysm and coexistent horseshoe kidney but is not without difficulties. This study examines the renal consequences of aortic stent grafting in such patients. This is a retrospective review of patients with horseshoe kidney i...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-003-0114-x
更新日期:2004-11-01 00:00:00
abstract::The authors describe a case in which a biliary-hepatic artery fistula was created by a glidewire perforation during percutaneous transhepatic biliary drainage and was successfully treated by embolization via the transbiliary tract. Great caution should be exercised to avoid perforation when a Terumo hydrophilic glidew...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF00192455
更新日期:1994-09-01 00:00:00
abstract:PURPOSE:The comparative efficacy of transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection (PEI) in the treatment of hepatocellular carcinoma (HCC) was investigated. METHODS:Two hundred and sixty consecutive patients were retrospectively analyzed: 156 had received between one and six chemoe...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s002709900104
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:The aim of the present study was to record and identify the frequency of complications following percutaneous nephrostomy, replacement of nephrostomy drains and percutaneous insertion of ureteral endoprostheses. METHODS:During a 10-year period 341 patients were referred to our department with indications for p...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-001-0004-z
更新日期:2001-07-01 00:00:00
abstract::We report a 38-year-old patient who presented with pulmonary hypertension and right ventricular dysfunction due to pulmonary artery stenoses as a manifestation of Williams syndrome, mimicking chronic thromboembolic pulmonary hypertension. The patient was treated with balloon angioplasty and stent implantation. Short-t...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-007-9009-6
更新日期:2007-07-01 00:00:00
abstract::Pulmonary parenchymal endometriosis is extremely rare and usually manifests itself with a recurrent hemoptysis associated with the menstrual cycle. The therapies proposed for women with endometriosis consist of medical treatments and surgery. Bronchial artery embolization has become a well-established and minimally in...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-007-9284-2
更新日期:2008-07-01 00:00:00
abstract::On page 1852, the first sentence of the second paragraph "In all PAVMs, the mean diameter of the feeding artery was 7.24 ± 0.015 mm, and the mean maximum diameter of the sac was 19.10 ± 0.585 mm" should be corrected to read as follows. ...
journal_title:Cardiovascular and interventional radiology
pub_type: 已发布勘误
doi:10.1007/s00270-019-02281-y
更新日期:2019-10-01 00:00:00
abstract::The spleen is a rare site of abdominal ectopic pregnancy. In a review of the literature, we found 16 published cases of primary splenic pregnancies. Of the cases identified, all received surgical intervention, with one case successfully treated with laparoscopic methotrexate injection, and the rest underwent splenecto...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-016-1403-5
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:The number of elderly patients diagnosed with hepatocellular carcinoma (HCC) is progressively increasing. The aim of this study was to determine the safety and efficacy of conventional transarterial chemoembolization (TACE) in elderly HCC patients compared with younger adults. METHODS:A consecutive cohort o...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-020-02451-3
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To compare pulse-spray to continuous-infusion thrombolysis with high-dose urokinase in thrombosed dialysis access grafts. METHODS:A prospective randomized controlled trial was performed. From August 1992 to September 1993, 30 thrombosed polytetrafluoroethylene (PTFE) grafts in 24 patients were included, 15 gra...
journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002709900229
更新日期:1998-03-01 00:00:00
abstract:PURPOSE:To report the immediate and mid-term clinical and anatomical outcomes of a novel, hybrid, heparin-bonded, nitinol ring stent (TIGRIS; Gore Medical) when used for the treatment of lesions located in the popliteal artery. MATERIALS AND METHODS:This was a prospective single-centre registry. Patients eligible for ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-015-1113-4
更新日期:2015-08-01 00:00:00
abstract:PURPOSE:To compare the feasibility, safety, and efficacy with small and large irinotecan drug-eluting beads (DEBIRI) for treating hepatic colorectal metastases. METHODS:Using our prospectively maintained, multi-center, intra-arterial therapy registry, we identified 196 patients treated with a combination of large bead...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00270-014-1011-1
更新日期:2015-04-01 00:00:00
abstract::Cystic insulinomas are rare, with only three cases having been reported in the literature. It is not difficult to determine the site of such neoplasms, as cystic insulinomas are usually 4-10 cm in diameter. We report a patient with a histologically confirmed cystic insulinoma. This case is unique because of the small ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02743540
更新日期:1997-07-01 00:00:00
abstract:PURPOSE:This study was designed to evaluate the efficacy of the blunt-tipped curved injection needle (BCN) AVAflex (Care Fusion) for vertebral augmentation in cases of Kummel's disease. METHODS:We performed 25 vertebral augmentation procedures on 25 consecutive patients (11 men/14 women; mean age, 67 years) with Kumme...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-010-9985-9
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:For evaluation of primary aldosteronism, international guidelines recommend a 4-6 week withdrawal of spironolactone, eplerenone, and amiloride prior to adrenal vein sampling (AVS). It is not always feasible to withdraw these drugs in patients with severe hypertension and hypokalemia. We present our experience...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-017-1637-x
更新日期:2017-09-01 00:00:00
abstract::Image-guided transcatheter hepatic chemoembolization (TACE) is accepted worldwide as an effective treatment for patients with unresectable hepatocellular carcinoma and liver metastases from neuroendocrine tumors, colorectal carcinomas, and uveal melanomas. Although the technique is relatively safe, it has been associa...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-010-9983-y
更新日期:2011-02-01 00:00:00
abstract::Minimally invasive image-guided insertion of self-expanding metal stents in the upper gastrointestinal tract is the current treatment of choice for palliation of malignant esophageal or gastroduodenal outlet obstructions. A concise review is presented of contemporary stenting practice of the upper gastrointestinal tra...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
doi:10.1007/s00270-010-9862-6
更新日期:2010-08-01 00:00:00
abstract::The aim of this article is to report our experience in the diagnosis of two cases of iliac artery endofibrosis or arteriopathy, a rare entity occurring in high-performance athletes, presenting with intermittent claudication (right-sided in both) after maximal exercise. External iliac artery endofibrosis or arteriopath...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-004-0202-6
更新日期:2006-09-01 00:00:00
abstract:PURPOSE:Primary hyperhidrosis (PH) typically involves the craniofacial (CF) or axillary-palmar (AP) region. Our purpose was to determine the safety and efficacy of CT-guided sympatholysis for treating PH. METHODS:In this prospective study, 39 consecutive patients with CF or AP PH were referred for percutaneous sympath...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-017-1806-y
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Mesenteric bleeding is a rare but potentially life-threatening complication of blunt abdominal trauma. It can induce active hemorrhage and a compressive hematoma leading to bowel ischemia. Emergency laparotomy remains the gold standard treatment. We aimed to study the effectiveness and complications of emb...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-015-1266-1
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:To investigate the use of uterine artery embolization (UAE) to manage ectopic pregnancies that are refractory to systemic methotrexate (MTX) therapy and plagued by persistently high serum β-human chorionic gonadotrophin (hCG) levels and vaginal bleeding. The safety and efficacy of UAE were addressed. MATERI...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-017-1664-7
更新日期:2017-09-01 00:00:00
abstract::The case presented demonstrates an alternative management approach for malignant ascites. A permanent indwelling peritoneal port for at-home, small-volume paracentesis, provided palliative therapy for a patient who had malignant ascites secondary to breast cancer. The device allowed paracentesis without the risk of re...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF00192454
更新日期:1994-09-01 00:00:00
abstract::Transvenous embolization therapy is reported in a patient who developed a fistula from the innominate artery to the innominate vein as a complication of permanent cardiac pacemaker insertion. A transarterial approach at occlusion was unfavorable due to previous difficult catheterizations, and the patient's poor clinic...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02629165
更新日期:1993-09-01 00:00:00
abstract:PURPOSE:To identify whether long-term symptom relief and stent patency vary with the use of covered versus uncovered stents for the treatment of benign SVC obstruction. METHODS AND MATERIALS:We retrospectively identified all patients with benign SVC syndrome treated to stent placement between January 2003 and December...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-018-1906-3
更新日期:2018-05-01 00:00:00
abstract::The purpose of this study was to assess a new open system with a field-strength of 1.0 T for the feasibility of liver biopsy using the freehand technique with fast continuous imaging. Fifty patients with focal liver lesions measuring 5 to 30 mm in diameter were included in the study. Guidance and monitoring was perfor...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-010-9836-8
更新日期:2011-02-01 00:00:00
abstract::We report our experience with Günter Tulip filter placement indications, retrievals, and procedural problems, with emphasis on alternative retrieval techniques. We have identified 92 consecutive patients in whom a Günter Tulip filter was placed and filter removal attempted. We recorded patient demographic information,...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-009-9684-6
更新日期:2010-08-01 00:00:00
abstract::Optional (retrievable) inferior cava filters (IVC) may have advantages over permanent filters in a certain subset of patients, especially in view of recent concerns about the long-term thrombotic complications of the latter. Retrieval of the Guenther Tulip Filter (GTF), an optional filter, has been reported in a total...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-003-2677-y
更新日期:2004-01-01 00:00:00
abstract:AIMS:In this article we present our experience with radiofrequency ablation (RFA) in the treatment of 105 renal tumors. MATERIALS AND METHODS:RFA was performed on 105 renal tumors in 97 patients, with a mean tumor size of 32 mm (11-68 mm). The mean patient age was 71.7 years (range, 36-89 years). The ablations were ca...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-007-9090-x
更新日期:2007-09-01 00:00:00
abstract:PURPOSE:This paper presents a modification of the known method for percutaneous treatment of hydatid cyst, the PAIR technique. It aimed to achieve safe aspiration of large symptomatic cysts and cysts with a danger of impending rupture. METHODS:We designed a coaxial catheter system to achieve concomitant evacuation of ...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/pl00021047
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Percutaneous vertebroplasty (PV) is an alternative option to treat pain after an osteoporotic vertebral compression fracture (OVCF). Controversy exists as to whether PV increases the risk of new OVCFs or prevents further vertebral height loss in treated levels. We assessed both during 1-year follow-up in pat...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00270-019-02205-w
更新日期:2019-07-01 00:00:00