Transcatheter arterial embolization with N-butyl cyanoacrylate for postoperative hemorrhage treatment following pancreatoduodenectomy.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Emergency Radiology Pub Date : 2024-04-01 Epub Date: 2024-02-09 DOI:10.1007/s10140-024-02211-7

Jin Long Zhang, Bing Yuan, Heng Zhang, Mao Qiang Wang

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引用次数: 0

Abstract

Purpose: Postoperative hemorrhage (PPH) is a severe complication of pancreatoduodenectomy (PD) with a mortality rate of 5-20.2% and mortality due to hemorrhage of 11-58%. Transcatheter arterial embolization (TAE) has been widely recommended for PPH, however, TAE with N-butyl cyanoacrylate (NBCA) for PPH treatment has been reported rarely. Therefore, this study aimed to evaluate the safety and efficacy of TAE with NBCA for PPH treatment following PD.

Methods: This retrospective study included 14 male patients (mean age, 60.93 ± 10.97 years) with postoperative hemorrhage following PD treated with TAE using NBCA as the main embolic agent from October 2019 to February 2022. The clinical data, technical and success rate, and complications were analyzed.

Results: Among the 14 patients who underwent TAE, the technical and clinical success rates were 100 and 85.71%, respectively. Angiography revealed contrast extravasation in 12 cases and a pseudoaneurysm in 3 cases. One patient developed a serious infection and died 2 days after the TAE.

Conclusion: TAE with NBCA for PPH treatment following PD, especially for massive hemorrhage caused by a pancreatic fistula, biliary fistula, or inflammatory corrosion, can result in rapid and effective hemostasis with high safety.

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用氰基丙烯酸正丁酯经导管动脉栓塞治疗胰十二指肠切除术后出血。

目的：术后出血（PPH）是胰十二指肠切除术（PD）的一种严重并发症，死亡率为 5-20.2%，出血导致的死亡率为 11-58%。经导管动脉栓塞术（TAE）已被广泛推荐用于治疗 PPH，但使用氰基丙烯酸正丁酯（NBCA）进行 TAE 治疗 PPH 的报道却很少。因此，本研究旨在评估使用 NBCA 进行 TAE 治疗 PD 后 PPH 的安全性和有效性：这项回顾性研究纳入了2019年10月至2022年2月期间14例PD术后出血的男性患者（平均年龄为60.93±10.97岁），他们均接受了以NBCA为主要栓塞剂的TAE治疗。对临床数据、技术和成功率以及并发症进行了分析：14例接受TAE治疗的患者中，技术成功率和临床成功率分别为100%和85.71%。血管造影显示造影剂外渗12例，假性动脉瘤3例。一名患者出现严重感染，在 TAE 术后 2 天死亡：结论：用NBCA进行TAE治疗PPH，尤其是胰瘘、胆瘘或炎症腐蚀引起的大出血，可以快速有效地止血，安全性高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.60

自引率

4.50%

发文量

期刊介绍： To advance and improve the radiologic aspects of emergency careTo establish Emergency Radiology as an area of special interest in the field of diagnostic imagingTo improve methods of education in Emergency RadiologyTo provide, through formal meetings, a mechanism for presentation of scientific papers on various aspects of Emergency Radiology and continuing educationTo promote research in Emergency Radiology by clinical and basic science investigators, including residents and other traineesTo act as the resource body on Emergency Radiology for those interested in emergency patient care Members of the American Society of Emergency Radiology (ASER) receive the Emergency Radiology journal as a benefit of membership!