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...
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Published in | World journal of gastrointestinal surgery Vol. 2; no. 9; pp. 295 - 298 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
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United States
Baishideng Publishing Group Co., Limited
27.09.2010
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Abstract | 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. |
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AbstractList | 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 final embolization. A stent graft can be used for protecting a brittle artery to avoid injury by coil embolization. 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. |
Author | Koji Tanaka Hiroaki Ohigashi Hidenori Takahashi Kunihito Gotoh Terumasa Yamada Isao Miyashiro Masahiko Yano Osamu Ishikawa |
AuthorAffiliation | Department of Surgery,Osaka Medical Center for Cancer and Cardiovascular Diseases,1-3-3 Nakamichi,Higashinari-ku,Osaka 537-8511,Japan |
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Cites_doi | 10.1016/j.surg.2007.02.001 10.1016/j.jamcollsurg.2005.05.007 10.1046/j.1365-2168.1999.00983.x 10.1016/S0002-9610(05)81073-6 10.1097/01.RVI.0000145226.08478.28 10.1097/01.sla.0000150169.22834.13 10.1016/S1015-9584(09)60103-2 10.1007/s002700010107 10.1067/mva.2000.110055 10.1001/archsurg.138.12.1310 10.1007/s10140-008-0716-3 10.1001/archsurg.137.1.55 |
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Notes | 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 |
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Snippet | Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal complication.Transarterial coil embolization and/or the placing of an... Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal complication. Transarterial coil embolization and/or the placing of an... |
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SubjectTerms | artery Case Report Covered Hemorrhage Hepatic Pancreatic Pseudoaneurysm stent surgery |
Title | Successful embolization assisted by covered stents for a pseudoaneurysm following pancreatic surgery |
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