[Catheter embolisation of the splenic artery as treatment for acute bleeding from varices (author's transl)].
Embolisation of the splenic artery with fibrin foam, in order to stop acute bleeding from varices, was carried out in two patients. This was performed immediately after diagnostic arterial indirect demonstration of the portal vein; by this method it is possible to achieve at least a temporary cessation of bleeding from oesophageal or gastric varices. The procedure is indicated in desparate situations, if intubation has been unsuccessful or has had to be discontinued, when endoscopic sclerosis is contra-indicated or when an emergency shunt cannot be carried out because of poor liver function or the general condition of the patient. Permanent results cannot be expected and recurrence of bleeding cannot be avoided. The use of splenic embolisation depends on stopping the acute bleeding in order to obtain an interval during which liver function can be improved so that a decompressing shunt operation becomes possible subsequently.
D000208:Acute Disease; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D004381:Duodenal Ulcer / Q000150:complications; D004617:Embolism; D005339:Fibrin Foam / Q000008:administration & dosage*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008103:Liver Cirrhosis / Q000150:complications; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000628:therapy*; D011167:Portacaval Shunt, Surgical; D011172:Portography; D011300:Preoperative Care; D013157:Splenic Artery; D013159:Splenic Infarction / Q000209:etiology; D013276:Stomach Ulcer / Q000150:complications
D005339:Fibrin Foam
Katheterembolisation der Milzarterien zum Stopp der akuten Varizenblutung