Endovascular management of delayed post-pancreatectomy haemorrhage

European Radiology
Edwige PottierValérie Vilgrain

Abstract

To assess the patient outcome after endovascular treatment of delayed post-pancreatectomy haemorrhage (PPH) as first-line treatment. Between January 2005 and November 2013, all consecutive patients referred for endovascular treatment of PPH were included. Active bleeding, pseudoaneurysms, collections and the involved artery were recorded on pretreatment CT. Endovascular procedures were classified as technical success (source of bleeding identified on angiogram and treated), technical failure (source of bleeding identified but incompletely treated) and abstention (no abnormality identified, no treatment performed). Factors associated with rebleeding were analysed. Sixty-nine patients (53 men) were included (mean 59 years old (32-75)). Pretreatment CT showed 27 (39 %) active bleeding. In 22 (32 %) cases, no involved artery was identified. Technical success, failure and abstention were observed in 48 (70 %), 9 (13 %) and 12 patients (17 %), respectively. Thirty patients (43 %) experienced rebleeding. Rebleeding rates were 29 %, 58 % and 100 % in case of success, abstention and failure (p < 0.001). Treatment failure/abstention was the only factor associated with rebleeding. Overall, 74 % of the patients were successfully treated by...Continue Reading

References

Mar 6, 1998·Annals of Surgery·B RumstadtM Trede
Apr 24, 2001·The American Journal of Gastroenterology·A OkunoN Nakajima
Feb 26, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Taylor A SohnKeith D Lillemoe
Jul 28, 2004·Journal of the American College of Surgeons·Seong Ho ChoiYong Il Kim
Dec 29, 2004·Annals of Surgery·Steve M M de CastroDirk J Gouma
Jun 15, 2007·American Journal of Surgery·Thomas BlancAlain Sauvanet
Mar 1, 2008·American Journal of Surgery·Todd A BakerGerard V Aranha
Apr 17, 2008·Annals of Surgical Oncology·Yu-Wen TienPo-Huang Lee
Oct 22, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jackson D HamiltonO Clark West
Nov 5, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·G RajarathinamR Surendran
Feb 19, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Laura BeyerVincent Moutardier
Jan 27, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Didier RoulinMarkus Schäfer
Aug 28, 2012·Journal of the American College of Surgeons·Camilo Correa-GallegoPeter J Allen
Nov 9, 2012·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Pandanaboyana SanjayIain Stephen Tait
Jan 23, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·U F WellnerT Keck

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Citations

Jun 12, 2020·Journal of Gastroenterology and Hepatology·Nozomu SakaiMasayuki Ohtsuka
Feb 11, 2021·AJR. American Journal of Roentgenology·Qian YuOsman Ahmed
Mar 6, 2021·Current Problems in Surgery·Thomas K Maatman, Nicholas J Zyromski
Mar 6, 2021·Current Problems in Surgery·Thomas K Maatman, Nicholas J Zyromski
Apr 19, 2021·World Journal of Surgery·Emmanuel DevantMircea Chirica

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