TITLE:
Endovascular Embolization of Pseudoaneurysms Complicating Pancreatitis Using Microcoils: Case Series
AUTHORS:
Kishor Taori, Jawahar Rathod, Amit Disawal, Rajesh Mundhada, Atul Rewatkar, Vishal Bakare, Prasad Wavare, Rakhi P. Puria
KEYWORDS:
Pancreatitis; Ruptured; Pseudoaneurysms; Visceral Arteries; Microcoils
JOURNAL NAME:
Open Journal of Radiology,
Vol.3 No.1,
March
12,
2013
ABSTRACT: Purpose: To determine whether endovascular embolization of pseudoaneurysms complicating pancreatitis with microcoils was associated with better therapeutic outcome. Materials and Method: The prospective clinical study was carried out in the Department of Interventional Radiology for a period of 2 years extending from May 2010 upto August 2012 on 16 male patients in the age group of about 30 - 55 years, with each one of them having vascular complications as a sequel to pancreatitis, after obtaining well informed written consent from each one of them. Results: The outcome of the procedure was judged by the following parameters—a) Restoration of the blood pressure of the patient; b) Cessation of the hemetemesis and malena; c) Reduction in abdominal pain and discomfort and d) Overall improvement in the general condition of the patient. Each of the patients had been on follow up for at least 6 months, except 2 of them, with no new complaints in any of them. The procedure related mortality was none. Conclusion: Vascular complications of pancreatitis need immediate and accurate diagnosis and prompt treatment. Micro coil embolisation, is a minimally invasive technique which helps to exclude the pseudoaneurysm from the circulation and thus reduces the scope for massive life threatening internal hemorrhage, and is a better alternative to surgery.