Can thiệp nút mạch điều trị tổn thương động mạch vùng đầu tụy tá tràng

Endovascular embolisation methode in treatment of pancreatico duodenal arterial injuries

SUMMARY:

Purpose: Study about the endovascular embolisation methode in treatment of pancreatico duodenal arterial injuries.

Materials and menthod: between 11/2011 and 4/2012, four patients with pancreatico duodenal vascular injuries on CT-Scanner were treated by endovascular embolisation.

Result: All had hematoma and arterial injuries in pancrea ticoduodenal area on CT-Scanner,no indication of surgical intervention. On angiogra phy, two patients had an injury of anterior superior pancreaticoduodenal artery, one had gastroduodenal artery injury and one had injuries of posterior superior pancreatico duodenal and inferior pancreaticoduodenal artery. The patients had successfully embolized by n-BCA glue. No complication was noted.

Conclusion: endovascular embolization is a safe, effective and suitable methode for pancreaticoduodenal arterial injury. The technique can develop in many healthcare centre in order to reducing the ratio of surgical intervention.

Key word: endovascular embolisation, arterial injuries, CTScanner, angiography.