Background : Hepatic artery embolization for the treatment of iatrogenic biliary hemorrhageis a safe and effective alternative to open surgery. However, treatment with hepatic arteryembolization can lead to hepatic ischemia or infarction.
Purpose : To examine the site, frequency and clinical presentation of hepatic ischemiafollowing seIecBve hepatic artery embolization.Material & methods : We reviewed medical records of 11 hepatic ischemia patients on aretrospective basis, who received treatment between January 19971o March 2009.
ResuHs : Primary disease in 11 cases were eady gastric cancer in 3 cases, chronic recurrentpancreatitis in 2 cases, choledochal cyst in 2 cases, chronic calculus cholecystitis in 2 cases,GB cancer in 1 case and recurrent HCC in 1 case. In all cases, embolized matenal was coil.Five cases (45.5%) resulted in hepatic abscesses and managed with percutaneous drainage,but 4 cases were died.
Conclusion : Hepatic artery embolization is an effective method for the treatment ofiatrogenic hepatic artery hemorrhage, but it has a high mortality due to liver infarcUon. For thisreason, superselective embolization, or stent insertion, should be considered in high nskpatients.
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