[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
June 2, 1978

Selective Arterial Embolization

Author Affiliations

The University of Texas Health Science Center San Antonio

JAMA. 1978;239(22):2338-2339. doi:10.1001/jama.1978.03280490022005

To the Editor.—  We have read the article by Bachman et al entitled "Selective Renal Artery Embolization: Treatment of Acute Renovascular Hypertension" (238:1534, 1977) and would like to emphasize their comments concerning the potential hazards of transcatheter embolization.

Report of a Case.—  A 39-year-old woman, a known abuser of alcohol, was seen with diffuse abdominal pain and hematemesis. Her blood pressure was 110/60 mm Hg, pulse rate was 80 beats per minute, and she had hepatomegaly. Laboratory data include a hemoglobin level of 8.2 g/dl; prothrombin time, 13 seconds (control, 11); partial thromboplastin time, 33 seconds (control, 33); serum amylase level, 90 units (normal, 38 to 264); and two-hour urine amylase level, 45 units (normal, 60 to 160). The serum amylase level remained normal through hospital day 15, after which it was not obtained.Her 21-day hospital course was complicated with sepsis and alcoholic hepatitis. During her hospitalization there was