22nd February 2010 - GEST Director and co-Founder Marc Sapoval brings you an interesting case from the George Pompidou Hospital in Paris - embolization of a bleeding abscess of the liver.

GEST 2010 promises to be full of interactive case-based discussion, ground-breaking abstract presentations, live demonstrations and hands-on workshops. Read more about GEST 2010’s innovative program online or register today!

Embolization of a bleeding abscess of the liver
M. Sapoval, MD PhD, GEST Founder
Cardiovascular and Interventional Radiology Department Head
Hopital Pompidou University Paris V, France

Case History:

1. A 65-year-old male patient underwent surgical drainage of a amoebic cyst in the left lobe of the liver.
2. After 2 uneventful days, the patient is readmitted with massive haemorrhage through the drainage catheter.

The patient is referred for emergent angiography.

3 different phases during selective left hepatic artery angiography.

1. Active extravasation (contrast media outside the normal arterial network with progressive deformation and increasing size )
2. Feeling of the abscess with active bleeding

Which treatment?

1. Embolization with:
   1. Glue
   2. Coils
   3. Gelfoam

Our approach:

1. Super-selective catheterisation with a microcatheter
2. Embolization with 3 torpedos of gelfoam (Gelitaspon)
3. Final result shows no more active bleeding
4. Patient recovers and drainage is withdrawn successfully 3 weeks later

Drs. Jafar Golzarian, Ziv Haskal & Marc Sapoval,
GEST Founders and Directors