Erfahrungen mit der selektiven Katheterembolisierung der Arteria iliaca interna bei lebensbedrohlich blutenden Uteruskarzinomen*

Abstract

Patients with heavily bleeding cervical or endometrial carcinomas were treated by embolisation. A catheter was placed into the internal iliac artery via the femoral artery. By the use of Gianturco-Anderson-Wallace springs, selective embolisation was performed distally to the superior gluteal or iliolumbar artery. Five patients between the age of 42 to 86 years (four cervical carcinomas, one endometrial carcinoma) were treated by embolisation. In four patients bleeding stopped after treatment. One patient died after further haemorrhage. Only minor side effects were seen. Thus, surgical ligature of the internal iliac arteries seems to be a thing of the past. Nevertheless, catheter embolisation should be performed only after alternative methods had been tried.