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Successful embolization assisted by covered stents for a pseudoaneurysm following pancreatic surgery.
MedLine Citation:
PMID:  21160899     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal complication. Transarterial coil embolization and/or the placing of an endovascular stent are minimally invasive and effective procedures. An artery that is extensively eroded and rendered friable due to operative skeletonization or postoperative inflammation sometimes contributes to delayed intra-abdominal hemorrhage or rebleeding after coil embolization. This report presents a case of successful management of postoperative hemorrhage in a-74-year-old Japanese male. He experienced bleeding from a pseudoaneurysm of the brittle hepatic artery following total pancreatectomy. Initially the pseudoaneurysm was successfully treated with covered coronary stent-grafts, but rebleeding occurred 1 mo later due to the brittleness of the artery. Rebleeding was definitively managed by the complete packing of the stent by coil embolization. He remains stable at 18 mo following the final embolization. A stent graft can be used for protecting a brittle artery to avoid injury by coil embolization.
Authors:
Koji Tanaka; Hiroaki Ohigashi; Hidenori Takahashi; Kunihito Gotoh; Terumasa Yamada; Isao Miyashiro; Masahiko Yano; Osamu Ishikawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastrointestinal surgery     Volume:  2     ISSN:  1948-9366     ISO Abbreviation:  World J Gastrointest Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-12-16     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101532473     Medline TA:  World J Gastrointest Surg     Country:  China    
Other Details:
Languages:  eng     Pagination:  295-8     Citation Subset:  -    
Affiliation:
Koji Tanaka, Hiroaki Ohigashi, Hidenori Takahashi, Kunihito Gotoh, Terumasa Yamada, Isao Miyashiro, Masahiko Yano, Osamu Ishikawa, Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases,1-3-3 Nakamichi, Higashinari-ku, Osaka 537-8511, Japan.
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