Uller, W. and Mueller-Wille, R. and Grothues, D. and Schelling, J. and Zausig, N. and Loss, M. and Stroszczynski, C. and Wohlgemuth, W. A. (2014) Gelfoam for Closure of Large Percutaneous Transhepatic and Transsplenic Puncture Tracts in Pediatric Patients. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 186 (7). pp. 693-697. ISSN 1438-9029, 1438-9010
Full text not available from this repository. (Request a copy)Abstract
Purpose: Evaluation of the efficacy and safety of Gelfoam for the closure of transhepatic or transsplenic parenchymal puncture tracts with large-bore sheaths in pediatric patients. Materials and Methods: Between January 2012 and May 2013, 8 percutaneous transhepatic accesses and 3 percutaneous transsplenic accesses were closed using percutaneous Gelfoam in pediatric patients. The primary study endpoints to determine treatment efficacy and safety were patient survival, technical success defined as successful closure of the puncture tract without signs of bleeding, and complication rates. The secondary study endpoints were the occurrence of local and systemic inflammation. Results: Overall survival was 100 % with a median follow-up of 256 days. The procedure was technically successful in 10 of 11 procedures. One patient suffered from bleeding, which was successfully managed by a single blood transfusion. No re-bleeding was detected during follow-up and no surgical interventions were necessary. No signs of local or systemic infections related to the Gelfoam application occurred. Conclusion: Percutaneous Gelfoam application is an effective and safe technique for the closure of transhepatic or transsplenic accesses in pediatric patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | DONOR LIVER-TRANSPLANTATION; PORTAL-VEIN STENOSIS; COMPLICATIONS; abdomen; embolization; transplantation; needle tract; intrahepatic; intrasplenic |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Kinder- und Jugendmedizin Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 17 Oct 2019 11:52 |
| Last Modified: | 17 Oct 2019 11:52 |
| URI: | https://pred.uni-regensburg.de/id/eprint/9983 |
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