醫(yī)學(xué)交流課件：VIABAHNforintra-abdominalhaemorrhage

1、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,Dist

2、ribution 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

3、 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 plac

4、ement,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 a

5、t 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!,D