Transcatheter Arterial Embalization for Rupture of Abdominal Visceralartory

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  • 腹部救急領域におけるIVR―カテーテル止血術の進歩と課題―腹部内臓動脈破裂症例のIVR治療

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Abstract

We encountered 11 cases of ruptured abdominal visceral arteries between 1993 and 2003. The patients (9 men and 2 women) renged in age from 47-68 years old. Their chief complaints were abdominal pain (6 cases), hemorrhagic shock (6 cases) and gastrointestinal bleeding (2 cases). The arterial ruptures were located in the pancreaticoduodenal artery (3 cases), the splenic artery (2 cases), the superior mesenteric artery (2 cases), the left renal artery (1 case), the inferior mesenteric artery (1 case) and the right and left gastric arteries (1 case each). The arterial ruptures were caused by celiac trunk stenosis (2 cases), chronic pancreatitis (2 cases), abdominal operations (2 cases), hypertension (2 cases), liver cirrhosis (1 case) and aortic dissection (1 case). The patients were treated using arterial embolization (9 cases) or surgery (4 cases), and 2 cases died.

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