Covered Stents for Late Postoperative Arterial Hemorrhage after Pancreaticoduodenectomy
- Resource Type
- Authors
- Bart Dolmatch; Sam Chao; Daniel Hankins; Rohan Jeyarajah
- Source
- Journal of Vascular and Interventional Radiology. 20:407-409
- Subject
- Male
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Hemorrhage
Arterial hemorrhage
Pancreaticoduodenectomy
Hepatic Artery
Humans
Medicine
Radiology, Nuclear Medicine and imaging
Covered stent
business.industry
Middle Aged
Blood Vessel Prosthesis
Surgery
Radiography
Computed tomographic angiography
Treatment Outcome
surgical procedures, operative
medicine.anatomical_structure
Hepatic arterial flow
Female
Stents
Radiology
Cardiology and Cardiovascular Medicine
business
Artery
- Language
- ISSN
- 1051-0443
The use of covered stents in treating delayed postoperative hepatic artery hemorrhage after pancreaticoduodenectomy may preserve hepatic arterial flow. The authors report two cases of massive hemorrhage after pancreaticoduodenectomy that were successfully treated with covered stents. Computed tomographic angiography demonstrated postprocedure patency of the hepatic arteries at 13 and 15 months, respectively. When technically feasible, percutaneous placement of stent-grafts may be used as a first-line intervention in delayed hemorrhage after pancreaticoduodenectomy.