POSSIBILITY OF X-RAY VASCULAR HEMOSTASIS IN PATIENTS WITH HEMORAGIC PANCREONECROSIS

Abstract

Summary. Aim: Purpose To show the high efficiency of treatment and diagnostic measures of X-ray endovascular hemostasis of hemorrhagic complications arising on the background of pancreatic necrosis Materials and methods. Bleeding sources were visualized in a total of 75 patients. During the analysis, we found that in 37% of cases, the source of bleeding was the arteries supplying blood to the head of the stomach (gastroduodenal artery, superior/inferior, anterior/ posterior pancreaticoduodenal arteries), in 22 % - the superior mesenteric artery and its branches, in 26 % - hepatic arteries: common hepatic artery (CAA), hepatic artery proper (CAA), and right/left hepatic arteries. Results. When analyzing the frequency of repeated and/or recurrent AK depending on the use of one or a combination of embolizing components, no statistically significant differences were found (p=0.3). The use of stent-grafts to ensure hemostasis in erosive bleeding has a number of both advantages and disadvantages compared to metal spirals. One of the main advantages is that when using a stent-graft, distal ischemia of the organ (tissue) does not occur and main blood flow is maintained. The disadvantage is the technical complexity of implantation due to the rigidity of the design of the delivery system. Conclusions. The proposed therapeutic and diagnostic measures of X-ray endovascular hemostasis are highly effective methods of treatment of hemorrhagic complications arising on the background of pancreatic necrosis.