Successful embolization assisted by covered stents for a pseudoaneurysm following pancreatic surgery

Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal complication.Transarterial coil embolization and/or the placing of an endovascular stent are minimally invasive and effective procedures.An artery that is extensively eroded and rendered friable due to operative skel...

Full description

Saved in:
Bibliographic Details
Published inWorld journal of gastrointestinal surgery Vol. 2; no. 9; pp. 295 - 298
Main Authors Tanaka, Koji, Ohigashi, Hiroaki, Takahashi, Hidenori, Gotoh, Kunihito, Yamada, Terumasa, Miyashiro, Isao, Yano, Masahiko, Ishikawa, Osamu
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 27.09.2010
Subjects
artery
Case Report
Covered
Hemorrhage
Hepatic
Pancreatic
Pseudoaneurysm
stent
surgery
Hepatic artery
Covered stent
Pancreatic surgery
Hemorrhage
Pseudoaneurysm
Online AccessGet full text

Cover

More Information
Summary:Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal complication.Transarterial coil embolization and/or the placing of an endovascular stent are minimally invasive and effective procedures.An artery that is extensively eroded and rendered friable due to operative skeletonization or postoperative inflammation sometimes contributes to delayed intra-abdominal hemorrhage or rebleeding after coil embolization.This report presents a case of successful management of postoperative hemorrhage in a-74-year-old Japanese male.He experienced bleeding from a pseudoaneurysm of the brittle hepatic artery following total pancreatectomy.Initially the pseudoaneurysm was successfully treated with covered coronary stent-grafts,but rebleeding occurred 1 mo later due to the brittleness of the artery.Rebleeding was definitively managed by the complete packing of the stent by coil embolization.He remains stable at 18 mo following the f inal embolization.A stent graft can be used for protecting a brittle artery to avoid injury by coil embolization.
Bibliography:Koji Tanaka,Hiroaki Ohigashi,Hidenori Takahashi,Kunihito Gotoh,Terumasa Yamada,Isao Miyashiro,Masahiko Yano,Osamu Ishikawa,Department of Surgery,Osaka Medical Center for Cancer and Cardiovascular Diseases,1-3-3 Nakamichi,Higashinari-ku,Osaka 537-8511,Japan
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Author contributions: Tanaka K and Ohigashi H contributed equally to this work; Ohigashi H, Takahashi H, Gotoh K, Yamada T, Miyashiro I, Yano M and Ishikawa O designed research; Tanaka K and Ohigashi H wrote the paper.
Correspondence to: Hiroaki Ohigashi, MD, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases,1-3-3 Nakamichi, Higashinari-ku, Osaka 537-8511, Japan. oohigasi-hi@mc.pref.osaka.jp
Telephone: +81-6-69721181 Fax: +81-6-69818055
ISSN:1948-9366
1948-9366
DOI:10.4240/wjgs.v2.i9.295