Selective angiography and embolization is an effective treatment for traumatic and non-traumatic arterial hemorrhage (1–2). Endovascular embolization for abdominal arterial hemorrhage is an established treatment for managing hemodynamically unstable patients (3, 4). Accurate, prompt identification of the damaged artery during the treatment session is essential for timely control of hemorrhage. One of the most important occurrences nontraumatic is acute gastro-intestinal(GI) bleeding having mortality rate with ranges 8% to 14% (5–6) and 21%– 40% in cases of massive bleeding associated with hemodynamic instability (7, 8,9). Transarterial...

We manually evaluated the archives of our PACS to identify all patients who had undergone superselective embolization of traumatic and non traumatic abdominal arterial bleedings at our interventional radiology department between July 2005 and September 2014. All patients were examined and treated as part of routine care and gave informed consent. Our institutional review board did not require its approval or informed consent for this study. A total of 74 patients (age range 14-81 years old) were included. 40 were male(54%) and 34(46%) were female....

Superselective hepatic arteriography was performed in 20 patients(15 patients to stop bleedings after percutaneous transhepatic cholangial drainage (PTCD) and 5 patients with liver trauma). Out of 20 patients, 2 were diagnosed with hepatic arterio-biliary fistula, 5 were diagnosed with pseudoaneurysm, and 13 was diagnosed with biliary-portal vein fistula. For the 2 patients with arterio-biliary fistula and the 5 patients with pseudoaneurysm, gelatin sponge and detachable platinum coils were used to embolize the proximal and distal ends, respectively, of the targeted bleeding vessel through superselective catheterization....

Interventional radiology has much to offer in the evaluation and treatment of traumatic injuries. Current literature suggests that this role may expand in time due to desire for organ preservation and avoidance of surgery as well as due to improvements in transcatheter equipment. Selective hepatic arteriography is considered the preferred method for diagnosis of severe hemobilia and bleeding liver vessels because of its high sensitivity, being capable of immediately and accurately detecting bleeding at such low rates as approximately 0.5 to 2 mL/min(22). . Many...

1. Sclafani SJ, Cooper R, Shaftan GW, Goldstein AS, Glanz S, Gordon DH. Arterial trauma: diagnostic and therapeutic angiography. Radiology 1986; 161:165–172. 2. Johnston SC, Wilson CB, Halbach VV, et al. Endovascular and surgical treatment of un- ruptured cerebral aneurysms: comparison of risks. Ann Neurol 2000; 48:11–19. 3. Peck DJ, McLoughlin RF, Hughson MN, Rankin RN. Percutaneous embolotherapy of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 1998; 9:747–751. 4. Bergert H, Hinterseher I, Kersting S, Leon- hardt J, Bloomenthal A, Saeger HD. Management and outcome...