scholarly journals Bile duct necrosis due to transcatheter arterial embolization (TAE) with gelfoam powder - Two case reports.

Kanzo ◽  
1985 ◽  
Vol 26 (2) ◽  
pp. 241-248
Author(s):  
Minoru SUKIGARA ◽  
Masatoshi MAKUUCHI ◽  
Takao MORI ◽  
Jun KOBAYASHI ◽  
Susumu YAMAZAKI ◽  
...  
2016 ◽  
Vol 58 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Wen Feng ◽  
Dong Yue ◽  
Lu ZaiMing ◽  
Liu ZhaoYu ◽  
Li Wei ◽  
...  

Background Hemobilia following laparoscopic cholecystectomy (LC) can occur in the early or late postoperative course and poses a diagnostic and therapeutic challenge. Purpose To assess computed tomography (CT) findings and clinical outcomes after transcatheter arterial embolization (TAE) in patients presenting with hemobilia following LC. Material and Methods Fourteen patients treated for hemobilia following LC were included in the study. Three patients were diagnosed by endoscopy and 11 by abdominal contrast-enhanced CT. Coils or microcoils were superselectively deployed to occlude the bleeding vessel during TAE. Abdominal CT findings of hemobilia, and the success rate and complication of TAE were observed. Results Abdominal CT provided the following signs of hemobilia: hematoma within the abdominal cavity and gallbladder fossa, blood clots containing high attenuation within the bile duct, biliary dilatation, pseudoaneurysm of the right hepatic artery, contrast extravasation, enhancement of the bile duct wall, and hypoperfusion of the right lobe. The success rate of TAE was 100% and rebleeding did not occur in any patient. Post-embolization syndrome and hepatic ischemia occurred in nine patients, which was associated with age and the time interval between the LC and TAE. Conclusion Abdominal CT provided direct signs that can aid in the diagnosis of hemobilia after LC. TAE allowed for successful treatment of hemobilia with minor complications.


2018 ◽  
Vol 8 (1) ◽  
pp. 82-89 ◽  
Author(s):  
Naoya Toriu ◽  
Junichi Hoshino ◽  
Saeko Kobori ◽  
Sun Watanabe ◽  
Masahiko Oguro ◽  
...  

We encountered 2 patients with symptomatic huge simple renal cysts. In case 1, 4,000 mL of cyst fluid was drained via a catheter, but intracystic bleeding occurred immediately afterwards. Transcatheter arterial embolization (TAE) was performed, after which the bleeding stopped, and cyst drainage was repeated successfully. After 2 years, the total cyst volume was reduced from 11,775 mL to 75.4 mL. In case 2, TAE was performed prophylactically before drainage. Subsequently, 9,400 mL of fluid was removed from multiple cysts. After 1 year, the total cyst volume was reduced from 9,215 mL to 633 mL without bleeding. Based on these 2 cases, prophylactic TAE before drainage may be useful in patients with huge renal cysts.


Author(s):  
Ying Hsuan Peng ◽  
Ming Chih Lin ◽  
Yeak Wun Quek ◽  
Wei Li Liu ◽  
Ting Yu Lin ◽  
...  

We report a case of a 9-day-old newborn who underwent arterial embolization for Kaposiform hemangioendothelioma (KHE) with Kasabach-Merritt phenomenon (KMP), combined with sirolimus treatment, and the outcome was favorable. To the best of our knowledge, there are no case reports of such small infants undergoing arterial embolization to treat KHE. Our successful experience of treating KHE with KMP showed that transcatheter arterial embolization is feasible and can be used as an alternative to surgical resection, even in small infants.


1993 ◽  
Vol 29 (5) ◽  
pp. 1020 ◽  
Author(s):  
Tae Hoon Kim ◽  
Yup Yoon ◽  
Jae Hoon Lim ◽  
Young Tae Ko ◽  
Dong Ho Lee

1994 ◽  
Vol 31 (5) ◽  
pp. 851
Author(s):  
Young Goo Kim ◽  
Kun Sang Kim ◽  
Jong Beum Lee ◽  
Hyung Jin Shim ◽  
Jong Ik Lee ◽  
...  

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