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British Journal of Radiology (1995) 68, 1336-1343
© 1995 British Institute of Radiology
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The British Journal of Radiology, Vol 68, Issue 816 1336-1343, Copyright © 1995 by British Institute of Radiology

ARTICLES

Long-term survival after embolization of potentially lethal bleeding malignant pelvic tumours

P Hendrickx, G Orth and JH Grunert
Department of Radiology, Friederikenstift, Hannover, Germany.

Transcatheter embolization was performed in 45 patients suffering from potentially lethal bleeding originating from malignant tumours in the pelvic region. In 21 cases, the basic disease was rectosigmoidal and in 20, gynaecological in origin. Uncommon bleeding sites were embolized in four other cases. The median survival time (Kaplan-Meier) was 6 months. Most patients died from tumour cachexia. In 10 cases (22%), recurrent bleeding occurred, in three of these with lethal consequences. Successful reembolization was performed on seven patients. The different embolization materials used showed a minor impact on the therapeutic result. Embolization therapy proved to be an effective measure in potentially lethal malignant pelvic bleeding. Gianturco, Anderson and Wallace (GAW) coils should be given preference where there is urgency, as they are accurate, easily and quickly insertable, and cause few complications.




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