Abstract
Hepatic artery pseudoaneurysms are a rare but potentially life-threatening complication of major pancreaticobiliary surgery. We evaluated the safety and efficacy of endovascular stentgraft implantation for the management of such vascular lesions. Between May 2013 and October 2015, ten patients with postoperative hepatic artery pseudoaneurysm, of which eight presented with active hemorrhage, were treated with endovascular stentgraft implantation. All patients had undergone major pancreatic or hepatic surgery before (pylorus-preserving pancreaticoduodenectomy, pancreatectomy, hemihepatectomy, extended hemihepatectomy). The pseudoaneurysms were diagnosed 13-202 days after surgery and were associated with postsurgical complications (e.g., leakage of pancreaticojejunal anastomosis). In 9/10 patients, the pseudoaneurysm was completely excluded via stentgraft implantation. In 1/10 patient, the pseudoaneurysm ruptured during the procedure and was successfully treated by immediate open surgery. In 1/10 patient, a second intervention was performed after 6 days because of rebleeding; this was successfully treated by implantation of a second overlapping stentgraft. Mean follow-up time is 51 days. None of the patients died due to stentgraft...Continue Reading
References
Feb 16, 2000·The British Journal of Radiology·D O'DriscollJ F Olliff
May 19, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·K KasirajanK Ouriel
Jul 5, 2003·Journal of Vascular Surgery·Maher A AbbasPeter Gloviczki
Dec 29, 2004·Annals of Surgery·Steve M M de CastroDirk J Gouma
Dec 20, 2005·Seminars in Vascular Surgery·Scott A Berceli
Oct 3, 2006·Journal of Vascular Surgery·Ulka SachdevMichael L Marin
Feb 1, 2007·Journal of Vascular Surgery·Nirman TulsyanKenneth Ouriel
Apr 10, 2007·Mayo Clinic Proceedings·Shabana F PashaPatrick S Kamath
Feb 1, 2008·The New England Journal of Medicine·Roger M Greenhalgh, Janet T Powell
Feb 3, 2009·Cardiovascular and Interventional Radiology·Kojiro SuzukiShinji Naganawa
Sep 30, 2009·Cardiovascular and Interventional Radiology·Giampaolo CarrafielloMassimo Ferrario
May 28, 2010·The Mount Sinai Journal of Medicine, New York·Ulka Sachdev-Ost
Jun 16, 2011·Cardiovascular and Interventional Radiology·Anna-Maria BelliRobert Morgan
Dec 8, 2011·Cardiovascular and Interventional Radiology·Stavros SpiliopoulosAndreas Adam
Aug 13, 2013·Cardiovascular and Interventional Radiology·Alberto BalderiMaurizio Grosso
Sep 21, 2013·Vascular and Endovascular Surgery·Peng-Hua LüHai-Bin Shi
Jul 10, 2014·North American Journal of Medical Sciences·Sucandy Iswanto, Michael L Nussbaum
Aug 6, 2014·Clinical Transplantation·Jun ChenJoshua D Dowell
Oct 25, 2014·JACC. Cardiovascular Interventions·Bimmer E ClaessenGeorge D Dangas
Citations
Sep 10, 2004·Annals of Vascular Surgery·Matthew MartinCharles Andersen
Jul 2, 2008·Journal of Vascular and Interventional Radiology : JVIR·Mahmood K Razavi, Milad D Razavi
Feb 27, 2018·European Radiology·Benedikt Michael SchaarschmidtChristoph Thomas
May 11, 2019·Annals of Surgical Treatment and Research·Yunghun YouSang Hyup Han
Dec 11, 2019·Surgical Case Reports·Ryusei YamamotoKatsuhiko Uesaka
Feb 7, 2020·CVIR Endovascular·Yu-Chien ChangYeun-Chung Chang
Nov 23, 2017·Cardiovascular and Interventional Radiology·Massimo VenturiniAlessandro Del Maschio
May 22, 2020·Cardiovascular and Interventional Radiology·Steffen WolkRalf-Thorsten Hoffmann
Jun 30, 2018·Cardiovascular and Interventional Radiology·Shohei ChataniKiyoshi Murata
Dec 9, 2020·CVIR Endovascular·Alfredo Páez-CarpioMarta Burrel
Mar 3, 2021·Annals of Hepato-biliary-pancreatic Surgery·Krista StephensonEmmanouil Giorgakis
Mar 14, 2021·Journal of Vascular and Interventional Radiology : JVIR·Won Seok ChoiJun Suh Lee
May 8, 2021·World Journal of Hepatology·Yasuyuki KamadaMasazumi Zaima
May 27, 2021·Abdominal Radiology·Yuan-Mao LinChien-An Liu
Aug 8, 2021·Khirurgiia·B G AlekyanA G Kriger
Sep 5, 2021·Japanese Journal of Radiology·Tatsuo UedaShin-Ichiro Kumita
Nov 5, 2021·Cardiovascular and Interventional Radiology·F PedersoliP Bruners