The article discusses the results of endovascular therapy (ET) in 92 patients with various forms of acute pancreatitis. ET was conducted without operative treatment, in preparation for operation, and in the postoperative period. Ten patients were subjected to direct hypothermia by intraarterial infusion of cooled solutions. Bi-arterial catheterization of the aortic branches was performed for higher efficacy of the management of acute pancreatitis and prevention of its complications. The inclusion of ET in the complex of therapeutic measures for acute pancreatitis led to a fall of pancreonecrosis lethality from 54% to 25%.

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