title: Superselective transcatheter arterial embolization in patients with acute peripancreatic bleeding complications: review of 44 cases.
abstract: To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) in the treatment of acute peripancreatic bleeding complications.
  
  
  
  During a 9-year period, 44 patients with acute bleeding of the peripancreatic arteries underwent TAE in our institution. Thirty-eight patients were treated using microcatheters and 6 patients with a diagnostic catheter. Embolic agents included coils (n = 38), polyvinyl alcohol (PVA) particles (n = 2), isobutyl cyanoacrylate (n = 2), coils plus PVA particles (n = 1), and coils plus isobutyl cyanoacrylate (n = 1). Outcome measures included technical success, clinical success, and the rate of complications.
  
  
  
  Identified bleeding sources included gastroduodenal artery (n = 14), splenic artery (n = 9), pancreaticoduodenal artery (n = 6), common hepatic artery (n = 5), superior mesenteric artery branches (n = 4), proper hepatic artery (n = 3), and dorsal/transverse pancreatic artery (n = 3). Technical success with effective control of active bleeding was achieved in 41/44 patients (93 %). Clinical success attributed to TAE alone was documented in 40/44 patients (91 %). The rate of major complications was 2 % including death in one patient.
  
  
  
  Superselective TAE allows effective, minimally invasive control of acute peripancreatic bleeding complications with a low rate of therapeutically relevant complications.
authors.affiliation: Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.|Department of Radiology, University of Wuerzburg, Würzburg, Germany.
authors.forename: Ralph
authors.initials: R
authors.lastname: Kickuth
authors.affiliation: Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.|Department of Radiology, Lindenhofspital, Bern, Switzerland.
authors.forename: Hanno
authors.initials: H
authors.lastname: Hoppe
authors.affiliation: Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.|Department of Radiology, Hirslanden Klinik, Aarau, Switzerland.
authors.forename: Bettina
authors.initials: B
authors.lastname: Saar
authors.affiliation: Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern, Switzerland.|Department of Surgery, soH Solothurner Spitäler, Solothurn, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Inderbitzin
authors.affiliation: Department of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University of Bern, Bern, Switzerland.|Department of Radiology, Spital Emmental, Burgdorf/Langnau, Switzerland.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Triller
authors.affiliation: Department of Statistics, University of Bamberg, Bamberg, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Raessler
authors.affiliation: Department of Visceral Surgery and Medicine, Inselspital, University of Bern, Bern, Switzerland. irene.gschossmann@t-online.de.|Department of Internal Medicine, Klinikum Forchheim, Forchheim, Germany. irene.gschossmann@t-online.de.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Gschossmann
mesh_terms: D004621:Embolization, Therapeutic; D006470:Hemorrhage; D006499:Hepatic Artery; D006801:Humans; D010179:Pancreas; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Angiography; Embolization; Hemorrhage; Peripancreatic arteries