Transcatheter gelfoam embolization in abdominal, retroperitoneal, and pelvic hemorrhage.

Abstract

Clinical experience with Gelfoam embolization for arterial hemorrhage in 55 patients is described. This technique controlled hemorrhage in 51 patients (92.7%). Two patients (3.6%) died of complications related to embolization. Gelfoam can be a permanent occluding agent which does not require subselective catheter position for effectiveness and safety. The advantages of Gelfoam are its availability, low cost, the ease and speed with which it can be applied through conventional catheters, and its safety and effectiveness if properly applied. The data presented here, and those in the literature, indicate that transcatheter therapeutic embolization for arterial bleeding below the diaphragm is by far the safest and most effective method available.

Massive Spontaneous Perirenal Hematoma and Accelerated Hypertension in a Patient with Polyarteritis nodosa

“…Although urgent surgery and explorative laparotomy may be required in some cases, nephrectomy should be avoided whenever possible; arteriography with selective embolization appears to be a good alternative, especially when a SPH is a complication of a known classic PAN, with a low mortality rate [8,11].…”

Spontaneous Perirenal Hemorrhage after Rupture of an Aneurysm in Case of Polyarteritis Nodosa along with Anuric Renal Failure

“…Above all, we refrain from performing a nephrec tomy because of the frequent bilateral affection. By using a superselectivc embolization technique as a first thera peutic step, we must concede, however, occurrence of a distal infarction as a possible complication [8]. With per sisting bleeding or further complications by compression of an additional hematoma, however, surgical procedure is indicated as a secondary step [5].…”

Transcatheter embolization of the marginal artery of drummond as treatment for life-threatening retroperitoneal hemorrhage complicating heparin therapy

“…Although the arteriae rectae emerging from the marginal artery are the end arteries to the bowel, anastomoses between adjacent mural trunks in the bowel wall can provide adequate collateral blood supply and prevent bowel ischemia if embolization is limited to the bleeding artery. The embolic agents that have been used for mesenteric embolization are gelatin sponge, polyvinyl alcohol particles, and microcoils [11][12][13][14][15].…”