Transarterial Embolization for Postoperative Hemorrhage After Abdominal Surgery

Kim, Jeong; Kim, Jae-Kyu; Yoon, Woong; Heo, Sook-Kyoung; Lee, Eun‐Ju; Park, Jin-Gyoon; Kang, Hyejung; Cho, Chol-Kyoon; Chung, Sang-Young

doi:10.1016/j.gassur.2004.07.015

Cited by 13 publications

(5 citation statements)

References 37 publications

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“…The development of interventional radiology has led to a minimally invasive approach to control bleeding with a satisfactory outcome. The success of TAE in the present study was 85.7%, comparable with that reported by other authors [11,15,19,21,22,25,26,27,28]. We therefore suggest angiography and intravascular embolization as the first-line diagnostic and treatment choice because it is time-saving and effective.…”

Section: Discussionsupporting

confidence: 91%

“…Although the prevalence of surgical mortality of pancreaticoduodenectomy (PD) has recently fallen to acceptable levels (0–5%) [1,2,3,4,5,6,7,8,9,10], the prevalence of mortality can reach 11–60% [10,11,12,13,14,15] if postoperative arterial bleeding occurs. Post-PD arterial bleeding usually happens late (>5 days postoperatively).…”

Section: Introductionmentioning

confidence: 99%

“…With recent advances in interventional radiology, transcatheter arterial embolization (TAE) has become more widely used. Various authors researching TAE for postoperative bleeding have reported a prevalence of success of 55–100% [11,15,19,21,22,25,26,27,28]. …”

Section: Introductionmentioning

confidence: 99%

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Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First

et al. 2011

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First

et al. 2011

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“…En effet cet évènement peut être annonciateur d'un épisode plus sévère dans les heures qui suivent, c'est l'hémorragie sentinelle 64 . Une intervention prophylactique systématique sur le site responsable le plus probable diminuerait le risque de récidive hémorragique, ainsi que la mortalité 65,66 .…”

Section: Artériographie Diagnostiqueunclassified

Delayed Postoperative Hemorrhage Complicating Major Supramesocolic Surgery Management and Outcomes

et al. 2021

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Aux membres du jury :Monsieur le Professeur Mircea CHIRICA, pour m'avoir très largement accompagné dans cet exercice de thèse, pour le temps que vous passez pour la formation des internes et assistants, soyez sûr de mon profond respect.Monsieur le Professeur Pierre BOUZAT, de me faire l'honneur de faire partie de ce jury, pour votre expérience, et l'élan que vous inculquez à toute l'équipe du bloc des urgences et de l'anesthésieréanimation grenobloise.Monsieur le Professeur Ivan BRICAULT, de me faire l'honneur de faire partie de ce jury, pour votre oeil expert en imagerie abdominale et pour nos discussions futures à ce sujet. Monsieur leDocteur Julio ABBA, pour votre passion communicative et motrice, votre expérience en chirurgie d'urgence, et votre bienveillance à mon égard ; soyez assuré de ma sincère reconnaissance. Monsieur le Docteur Fabien STENARD, pour votre affection pour l'enseignement, votre perfectionnisme, et votre ambition de toujours améliorer la qualité des soins, je vous assure de mon profond respect. 7 Aux professionnels, qui ont participé et participe encore à ma formation : Le service de chirurgie digestive et viscérale du CHU de Grenoble : Monsieur le Professeur FAUCHERON, pour ses enseignements et sa bienveillance. Madame le Professeur ARVIEUX, pour son accueil et son expérience. Monsieur le Dr RISSE pour son pragmatisme et son professionnalisme. Monsieur le Dr RECHE pour son expérience. À tous les assistants de ce service, qui m'ont inspiré, par leur état d'esprit, pour autant de professionnalisme dans autant de dérision ; merci aux Dr Nicolas MOUGIN et Pierre Yves SAGE, à Nico, Jolivet, Sandrine, Bebert, Édouard et Vincent. Je pense que vous savez à quel point c'était mythique d'apprendre grâce à vous ! Les secrétaires, infirmières et tout le personnel du 12 ème pour leur travail dans la bonne humeur ! L'équipe de chirurgie orthopédique d'Annecy, des Dr CHIRPAZ et JAGER pour m'avoir laissé naïf un temps.

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“…In particular, delayed hemorrhage occurring five or more days post-operatively [2] is difficult to manage because the hepatic artery and/or the portal vein are frequently affected. That is, not only hemostasis, but also the maintenance of hepatic blood flow has to be considered in treating these patients.…”

Section: Introductionmentioning

confidence: 99%

Stent placement is effective on both postoperative hepatic arterial pseudoaneurysm and subsequent portal vein stricture: A case report

Ichihara

Sato²,

Miyazawa³

et al. 2007

WJG

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To treat postoperative bleeding after hepato-pancreatobiliary surgery, interventional radiology has become essential. We report a case of coincidental pseudoaneurysm and jejunal varices that were both successfully treated by stent-grafts. After a pancreaticoduodenectomy, the patient developed a pseudoaneurysm in the hepatic artery and a stenosis in its periphery. After establishing hepatic arterial flow by placing stent-grafts over both the pseudoaneurysm and the stenosis, the pseudoaneurysm was embolized with microcoils. Nine months later, the patient developed jejunal varices caused by a severe stricture in the main trunk of the portal vein. Percutaneous transhepatic portography was performed and stent-grafts were placed over the stenotic segment. A venoplasty using stent-grafts normalized the portal blood flow and the jejunal varices vanished. Although stenosis occurred due to scarred tissues from leakage after pancreaticoduodenectomy, stent-grafts were useful for managing jejunal bleeding post-operatively.

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Transarterial Embolization for Postoperative Hemorrhage After Abdominal Surgery

Cited by 13 publications

References 37 publications

Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First

Management of Delayed Post-Pancreaticoduodenectomy Arterial Bleeding: Interventional Radiological Treatment First

Delayed Postoperative Hemorrhage Complicating Major Supramesocolic Surgery Management and Outcomes

Stent placement is effective on both postoperative hepatic arterial pseudoaneurysm and subsequent portal vein stricture: A case report

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