Transcatheter Embolization of Pseudoaneurysms Complicating Pancreatitis

Golzarian, Jafar; Nicaise, Nicole; Devière, Jacques; Ghysels, Marc; Wery, Didier; Dussaussois, Luc; Gansbeke, Daniel Van; Struyven, Julien

doi:10.1007/s002709900189

Cited by 73 publications

(72 citation statements)

References 22 publications

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“…Endovascular techniques such as transcatheter embolization are an alternative to surgery and are considered the treatment of choice for arterial pseudoaneurysms by some authors (25)(26)(27). Another technique for treatment of pseudoaneurysms is percutaneous occlusion with image-guided thrombin injection.…”

Section: Embolization Of Splenic Artery Pseudoaneurysmsmentioning

confidence: 99%

Image-guided Percutaneous Splenic Interventions

Singh

Shankar²,

Gervais

et al. 2012

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In the spleen, image-guided interventional procedures such as biopsy and catheter drainage have not been widely performed because of the perceived increased risk of complications. The ability of image-guided biopsy to allow tissue diagnosis of a focal splenic mass without the need for splenectomy is the driving force behind use of this procedure in oncology patients. The literature on image-guided splenic biopsy suggests that the highest biopsy yield is achieved with core biopsy and the lowest complication rate is achieved with fine-needle aspiration. Image-guided catheter drainage is an effective alternative to splenectomy for management of infected splenic collections. In clinical practice, image-guided splenic biopsy, fluid aspiration, and catheter drainage have high success rates. Image-guided alcohol ablation is effective in treatment of splenic cysts. The literature on splenic radiofrequency ablation (RFA) is sparse; therefore, further studies are needed to determine the role of RFA in management of splenic neoplasms and hypersplenism. Image-guided percutaneous thrombin injection can be used to treat splenic artery pseudoaneurysms. Awareness of the correct interventional techniques and their limitations is important for safe performance of image-guided percutaneous splenic interventions.

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Section: Embolization Of Splenic Artery Pseudoaneurysmsmentioning

confidence: 99%

Image-guided Percutaneous Splenic Interventions

Singh

Shankar²,

Gervais

et al. 2012

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“…In our case, slow medical consultation and technical problems led to a late referral of the patient for endovascular treatment. Even with the assumption that pancreatic tail pseudoaneurysms, as in our case, are less life-threatening is no excuse for therapeutic hesitancy [9,12,13]. This case is illuminating in illustrating a natural solution of a severe vascular complication of pancreatitis.…”

Section: Discussionmentioning

confidence: 78%

Spontaneous thrombosis of a pseudoaneurysm complicating pancreatitis

1999

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Patients with a visceral aneurysm are at high risk for acute transpapillary, intra-, or retroperitoneal hemorrhage, necessitating either surgical or endovascular therapy. We report an instance of spontaneous thrombosis of a pseudoaneurysm complicating pancreatitis before endovascular treatment could be performed. Causality and the literature of spontaneous thrombosis in pseudoaneurysms are discussed.

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“…For stable, nonruptured HAP, occlusion is achieved by embolization in 88%-100% of cases, 9,10 being particularly effective for HAP caused by percutaneous procedures, with successful results reported in 75%-100% of cases. 8,10 Good results of embolization for HAP caused by pancreatitis have also been reported, 14,15 and even ruptured HAP can be managed successfully by embolization, 16 although repeated embolization is required in up to 37% of patients. 17 Isolated reports of hepatic necrosis after embolization have been reported and probably result from nonselective deployment or embolization in the presence of an occluded portal vein.…”

Section: Discussionmentioning

confidence: 88%