Abstract：Objective: To explore the diagnostic and therapeutic value of selective angiogram and embolization via catheters for acute splanchnic arterial bleeding. Methods: Selective angiogram and embolization via catheters were performed in 36 cases of acute splanchnic arterial bleeding including 16 cases of hemoptysis caused by bronchiectasis, 2 cases of hemoptysis caused by lung cancer, 4 cases of haematemesis caused by gastric or duodenal ulcer, 2 cases of alvine blood and 4 cases of colonic blood for unknown factor, one case of bile blood caused by PTCD procedure, 6 cases of renal hematoma caused by trauma or biopsy, hematuria caused by renal arteriovenous malformation. Results: Causes of bleeding in all patients were ascertained through angiogram and 35 of 36 cases were stanched with embolization. One case of colonic blood was not stanched because of incomplete embolization. Paraplegia appeared in one case of lung cancer after embolization of bronchial arteries. Intestinal putrescence arised in one case of alvine blood after embolization who underwent operation and recovered. Conclusion: Selective angiogram and embolization via catheters is safe and effective for acute splanchnic arterial bleeding.
2007, Vol. 18 
