[Embolization of hepatic artery in liver cirrhosis complicated by ascites: long-term results].
Retrospective analysis of the results of treatment in 199 patients with cirrhosis of the liver and portal hypertension complicated by ascitis has been carried out. Embolisation of hepatic artery (EHA) by spiral was carried out in 130 patients. Control group consisted of 69 patients who underwent drug treatment. EHA resulted in 3% mortality rate. Ascitis regressed in 55% of patients soon after EHA, however in 12 months this effect persisted only in 27% of patients. Statistical analysis failed to show significant differences in survival after EHA and chemotherapy in patients with cirrhosis of the liver of classes A and C by Child-Pugh, and more favourable prognosis in conservative treatment in cirrhosis of class B. EHA should not be recommended for treatment in cirrhosis of the liver complicated by portal hypertension and ascitis.
Tarazov
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D000328:Adult; D001201:Ascites / Q000209:etiology* / Q000401:mortality / Q000628:therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D005500:Follow-Up Studies; D006499:Hepatic Artery; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications / Q000401:mortality / Q000628:therapy*; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome