医学交流课件：VIABAHNforintra-abdominalhaemorrhage.pptVIP

Key point of cover-stent placement Access approach Stable suspending It is generally recommended that the stent graft be placed with a landing zone of 10 mm on each side of the aneurysmal neck to ensure an adequate seal. It is difficult to pass tortuous vessel for cover-stent，VIABAHN is good at it Bigger sheath（more than 6F）is the disadvantage of VIABAHN Patency rate of 6 months follow-up Do not need anti-coagulation Take home message VIABAHN is very flexible and easy to deploy, it is a good choice of intra-abdominal haemorrhage. However, the indication is very important, for the criminal vessel which we must remain, we could choose cover-stent plcaement, for the criminal vessel which we do not need to remain, just embolize it。 For haemorrhage disease, embolization is always the first choice of IR! Department of Interventional Radiology * VIABAHN for intra-abdominal haemorrhage Background Classification of Intra-abdominal haemorrhage Traumatic bleeding Traffic injury，post-operation etc. Pathological bleeding Pancreatitis，aneurysm/venous aneurysm etc Treatment Embolization: “Front and back door” embolization Cover-stent placement Distribution of VAA Abrams Ch 60 - Kos S, Liu DM, Jacob AL Abrams Ch 60 - Kos S, Liu DM, Jacob AL 62 years old female，post HCC resction Aneurysm of left hepatic artery Liver abscess 67 years old male Post Whipple procedure Interrupt bleeding form drainage tube With liver function of child B 54 years old male Post Whipple procedure Interrupt bleeding form drainage tube Post splenic artery embolization Venous bleeding Pre-treatment Post-treatment 57 years old female Post resection of cauda pancreatis Interrupt bleeding from drainage tube Angiography several times Not appropriate for cover-stent placement *