KẾT QUẢ ĐIỀU TRỊ CAN THIỆP NỘI MẠCH GIẢ PHÌNH ĐỘNG MẠCH TẠNG BỤNG KHÔNG DO CHẤN THƯƠNG

SUMMARY

Objective: to apply and estimate the efficacy of embolization in non traumatic visceral arterial pseudoaneurysm.

Subject and method: Twenty-seven patients underwent angiography and embolization at Bachmai hospital from 7/2020 to 7/2022.

Result: In 27 patients (20 males & 07 females), 09 patients show extravasation in DSA. The splenic artery and the superior mesenteric artery are the arteries most commonly with visceral arterial pseudoaneurysms. Of the 27 patients studied, 24 had technical success in the first intervention, one required secondary intervention because of rebleeding and it was successfully treated by reintervention, one required ileectomy after embolisation due to ongoing hemorrhage, one patient died from uncontrolled blood transfusion shock.

Conclusion: In hemodynamically stable and controlled patients, selective and super selective embolization is a safe and effective method for managing non traumatic visceral arterial pseudoaneurysm.

Keywords: Visceral arterial pseudoaneurysm (VAPA), embolization, extravasation.