The application of interventional management in treating abdominal visceral hemorrhage

Objective: To evaluate the interventional management in treating hemorrhage from abdominal viscera. Methods: During the period from June 2009 to June 2011, a total of 36 patients with abdominal visceral hemorrhage were admitted to authors, hospital. Emergency interventional embolization or endovascular stent-graft exclusion was carried out in all patients. The lesions included hepatic pseudoaneurysm (n = 10), gastric ulcer with bleeding (n = 3), intestinal pseudoaneurysm (n = 3), renal pseudoaneurysm (n = 12), renal vascular malformation (n = 5) and abdominal bleeding due to scar pregnancy (n = 3). The results were analyzed. Results: Interventional embolization of the responsible artery and its branches or endovascular stent-graft exclusion procedure was carried out in all 36 patients, with the success rate of hemostasis being 100%. No complications such as severe functional impairment of abdominal organs, etc. occurred. Conclusion: Interventional treatment is quite safe and effective for abdominal visceral hemorrhage. For a given patient with abdominal bleeding from solid or hollow organ, individualized employment of interventional technique and embolic agents should be recommended. (authors)