DSA diagnosis and interventional therapy in acute massive hemorrhage of abdomen and pelvis

Objective: To evaluate the diagnostic angiography and interventional therapy for the different acute massive hemorrhage of abdomen. Methods: 80 cases of acute hemorrhage of abdomen and pelvis with clinical data of selective arteriography and endovascular interventional therapy were collected and analized retrospectively. Seldinger technique was adopted for selective visceral angiography via femoral approach with lipiodal, gelfoam and spring coils as the embolic materials. Results: All bleeding sites in 80 cases could be confirmed and 68 cases of them were successfully embolized, 9 cases occurred with rehaemorrhagia and 3 cases were ineffective. Conclusion: Interventional therapy not only ascertain the bleeding site, but also stop bleeding. The effect is certainly positive. (authors)