Transcatheter Arterial Embolization of Gastroduodenal Artery Stump Pseudoaneurysms after Pancreaticoduodenectomy: Safety and Efficacy of Two Embolization Techniques

Hur, Saebeom; Yoon, Chang Jin; Kang, Sung Gwon; Dixon, Robert G.; Han, Ho Seong; Yoon, Yoo Seok; Cho, Jai Young

doi:10.1016/j.jvir.2010.11.020

Cited by 73 publications

(78 citation statements)

References 19 publications

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“…Late PPH is generally caused by severe operative trauma, persistent stress of recovery, and other serious complications [3,16,17]. Therefore, patients with late PPH have poor conditions and a higher rate of death than those with early PPH.…”

Section: Discussionmentioning

confidence: 99%

Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis

Wang¹,

Babu³

et al. 2017

Dig Surg

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Aims: To analyze the incidence of and risk factors for post-pancreatoduodenectomy (PD) hemorrhage (PPH) and to evaluate the outcomes of reinterventions for PPH. Methods: All PDs between January 2009 and December 2014 were retrospectively evaluated. PPH was evaluated according to the criteria of the International Study Group of Pancreatic Surgery. Both univariate and multivariate analyses of risk factors for PPH and mortality were performed. Reinterventions were also evaluated. Results: Of the 1,056 PDs during the study period, 78 (7.4%) developed PPH, including 36 with grade B and 42 with grade C. Of these 78 patients, 24 (30.8%) died of PPH-related causes. Multivariate analysis showed that older age, higher total bilirubin concentration, and postoperative pancreatic fistula (POPF) were independent risk factors for PPH. Patients who died of PPH were significantly older and had lower preoperative hemoglobin and albumin concentrations than patients who did not die of PPH. Of the 78 patients with PPH, 58 underwent reintervention, including 27 who underwent angiography, 24 who underwent endoscopy, 24 who underwent re-laparotomy, and 15 who underwent more than one reintervention. Conclusions: Older age, total bilirubin, and POPF are independent risk factors for PPH. Higher mortality are associated with advanced PPH and poor nutritional conditions.

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Section: Discussionmentioning

confidence: 99%

Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis

Wang¹,

Babu³

et al. 2017

Dig Surg

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“…In fact, the pseudoaneurysms are successfully treated with Angioembolization , The subsequent CT scan and repeat endoscopy performed for the patient in this study showed the therapeutic efficacy of TAE in the treatment of upper gastrointestinal bleeding caused by the pseudoaneurysms of GDA. While, Selective embolization of the GDA stump and/or pseudoaneurysm frequently caused some complications because it is technically challenging (18). We hypothesize that in this patient, '' duodenal hematoma'' was facilitated by ischemia of the duodenum after TAE, and contributed to the development of secondary obstructive cholangitis (19), present as increasing bilirubin and transaminase levels in this case.…”

Section: Case Reportmentioning

confidence: 79%

Hemosuccus pancreaticus following Parathyroidectomy for Primary parathyroid adenoma

Yang²,

Cai³

et al. 2015

Turk J Gastroenterol

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Hemosuccus pancreaticus is defined as intermittent bleeding from the pancreatic duct into the GI tract, usually caused by the rupture of an pseudoaneurysm, which is usually associated with pancreatitis, abdominal surgery, and can result in life-threatening hemorrhage. Hyperparathyroidism is a rare cause of pancreatitis, it should be suspected in all patients with a history of primary hyperpara¬t hyroidism , When these diseases coexist, the course of pancreatitis can be rather severe and often complicated. This report detail a case of Hemosuccus pancreaticus due to hyperparathyroidism associated pancreatitis and its successful emergency conservative management by Embolization Techniques.

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“…Although several studies have demonstrated excellent long-term results of coil embolization for various vascular disorders (3,4,6,7,(11)(12)(13), there is a paucity of reports of the use of coaxial microballoon catheters via conventional 4-5-F angiographic catheters for embolization purposes. In the present study, superselective embolization with the coaxial microballoon catheter was safe and effective in treating vascular disorders.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports regarding transcatheter arterial embolization for many vascular disorders, including pulmonary arteriovenous malformations (AFMs; PAVMs), visceral artery aneurysms (VAAs), and gastroduodenal artery (GDA) stump pseudoaneurysms after pancreaticoduodenectomy, have confirmed that an important cause of failure is insufficient embolization, with subsequent recanalization (3,6,7,9).…”

mentioning

confidence: 99%

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Superselective Coaxial Microballoon-Occluded Coil Embolization for Vascular Disorders: A Preliminary Report

Yasumoto¹,

Yakushiji²,

Ohira³

et al. 2015

Journal of Vascular and Interventional Radiology

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Transcatheter Arterial Embolization of Gastroduodenal Artery Stump Pseudoaneurysms after Pancreaticoduodenectomy: Safety and Efficacy of Two Embolization Techniques

Cited by 73 publications

References 19 publications

Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis

Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis

Hemosuccus pancreaticus following Parathyroidectomy for Primary parathyroid adenoma

Superselective Coaxial Microballoon-Occluded Coil Embolization for Vascular Disorders: A Preliminary Report

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