Using a stent graft in the treatment of hepatic artery bleeding after pancreatoduodenectomy
Authors:
J. Pastor 1; R. Pádr 2
Authors‘ workplace:
III. chirurgická klinika 1. LF UK a FN Motol, přednosta: prof. MUDr. R. Lischke, PhD.
1; Klinika zobrazovacích metod 2. LF UK a FN Motol, přednosta: doc. MUDr. M. Roček, CSc.
2
Published in:
Rozhl. Chir., 2015, roč. 94, č. 6, s. 256-260.
Category:
Case Report
Overview
Delayed bleeding is a potential complication of pancreatoduodenectomy. Its treatment is either endovascular or surgical (stentgraft, embolization). Our case report presents a patient with bleeding from the hepatic artery pseudoaneurysm within a period of 3 months after pancreatoduodenectomy for common bile duct carcinoma, resolved using a stent graft.
Key word:
pancreatoduodenectomy – postoperative complications – bleeding – angiography – stent graft
Sources
1. Jon B, Čečka F, Ferko A, et al. Naše zkušenosti s resekčními výkony na pankreatu. Retrospektivní analýza, Rozhledy v chirurgii 2008;87:195–9.
2. Schmidt CM Powell ES, Yiannoutsos CT, et al. Pancreatoduodenectomy. A 20-year experience in 516 patients. Arch Surg 2004;139:718−25.
3. Boufi M, Belmir H, Hartung O, et al. Emergency stent graft implantation for ruptured visceral artery pseudoaneurysm. Journal of Vascular Surgery 2011;53:1625−31.
4. Kaw LL., Jr, Saeed M, Brunson M, et al. Use of a stent graft for bleeding hepatic artery pseudoaneurysm following pancreatoduodenectomy, Asian Journal of Surgery 2006;29:283−6.
5. Schwarzmannová K, Poch T, Šimša J, et al. Pseudoaneurysma arteria hepatica manifestující se hemobilií jako komplikace laparoskopické cholecystektomie. Rozhledy v chirurgii 2008;87:360–3.
6. Hylton JR, Pevec WC. Succesful treatment of an iatrogenic right hepatic artery pseudoaneurysm and stenosis with a stent graft. Journal of Vascular Surgery 2009;51:1510−3.
7. Miller MT, Comerota AJ, Disalle R, et al. Endoluminal embolisation and revascularisation for complicated mesenteric pseudoaneurysm, a report of two cases and literature review. Journal of Vascular Surgery 2007;45:381−6.
8. Negi SS, Sachdev AK, Bhojwani R, et al. Experience of surgical management of pseudo-aneurysms of branches of the coeliac axis in a Norh Indan Hospital. Trop Grastorenterol 2002;23:97−100.
9. Salam TA, Lumsden AB, Martin LG, et al. Nonoperative management of visceral aneurysms and pseudoaneurysms, Am J. Surg 1992;164:215–9.
10. Larson RA, Solomon J, Carpenter JP. Stent graft repair of visceral artery aneurysms. Journal of Vascular Surgery 2002; 36:260−3.
11. Flum AS, Geiger JD, Gemmete JJ, et al. Management of a traumatic hepatic artery pseudoaneurysm and arteriovenous fistula with a combination of a stent graft and coil embolisation using flow control with ballon remodeling, Journal of Pediatric Surgery 2009;44:31−6.
12. Stanley JC, Wakefield TW, Graham LM, et al. Clinical importance and management of splanchnic artery aneurysms, Journal of Vascular Surgery 1986;3:836–40.
13. Reiter DA, Fischman AM, Shy BD. Hepatic artery pseudoaneurymsm rupture: A case report and review of the literature. The Journal of Emergency Medicine 2013,44:100−3.
14. Wente MN, Veit JA, Bassi C, et al. Postpancreatectomy hemorrhage (PPH)–An International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery 2007;142:20−5.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2015 Issue 6
Most read in this issue
- Acute abdominal surgery in pregnancy – as viewed by the surgeon
- Current standards of care in the management of patients with abdominal sepsis
- Ganglioneuroma, a rare cause of soft neck tissues tumor in adult age
- A novel method of endovascular aneurysm sealing (EVAS) in patients with abdominal aortic aneurysm