Transhepatic embolization in patients with acute variceal hemorrhage

William W. Turner, Brian A. Ellman

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Control of acute variceal bleeding by transhepatic embolization was investigated in 14 patients with alcoholic liver disease. In these patients hemorrhage was unresponsive to general supportive measures, intravenous vasopressin and balloon tamponade. Embolization was performed using Gelfoam and a synthetic polymer, bucrylate. Acute hemorrhage was arrested in 86 percent of patients. Rebleeding after transhepatic embolization occurred in 35 percent of patients. There were three deaths from intraabdominal hemorrhage related directly to transhepatic embolization (21 percent). Six patients (43 percent) left the hospital alive. In a group of cirrhotic patients in whom transhepatic embolization was employed after traditional modes of therapy had failed to control variceal hemorrhage, mortality and rebleeding rates were high.

Original languageEnglish (US)
Pages (from-to)731-734
Number of pages4
JournalThe American Journal of Surgery
Volume142
Issue number6
DOIs
StatePublished - Dec 1981

ASJC Scopus subject areas

  • Surgery

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