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European Radiology

, Volume 17, Issue 2, pp 401–408 | Cite as

Stent grafting of acute hepatic artery bleeding following pancreatic head resection

  • Christoforos StoupisEmail author
  • Karin Ludwig
  • Daniel Inderbitzin
  • Dai-Do Do
  • Juergen Triller
Hepatobiliary-Pancreas

Abstract

The purpose of this study was to report the potential of hepatic artery stent grafting in cases of acute hemorrhage of the gastroduodenal artery stump following pancreatic head resection. Five consecutive male patients were treated because of acute, life-threatening massive bleeding. Instead of re-operation, emergency angiography, with the potential of endovascular treatment, was performed. Because of bleeding from the hepatic artery, a stent graft (with the over-the-wire or monorail technique) was implanted to control the hemmorhage by preserving patency of the artery. The outcome was evaluated. In all cases, the hepatic artery stent grafting was successfully performed, and the bleeding was immediately stopped. Clinically, immediately after the procedure, there was an obvious improvement in the general patient condition. There were no immediate procedure-related complications. Completion angiography (n=5) demonstrated control of the hemorrhage and patency of the hepatic artery and the stent graft. Although all patients recovered hemodynamically, three individuals died 2 to 10 days after the procedure. The remaining two patients survived, without the need for re-operation. Transluminal stent graft placement in the hepatic artery is a safe and technically feasible solution to control life-threatening bleeding of the gastroduodenal artery stump.

Keywords

Endovascular stent graft Emergency Gastrointestinal tract hemorrhage Hepatic artery Pancreatic surgery Complications Interventional radiology 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Christoforos Stoupis
    • 1
    • 4
    Email author
  • Karin Ludwig
    • 1
  • Daniel Inderbitzin
    • 2
  • Dai-Do Do
    • 3
  • Juergen Triller
    • 1
  1. 1.Department of Diagnostic, Interventional and Pediatric RadiologyUniversity of Berne, InselspitalBerneSwitzerland
  2. 2.Clinic for Visceral and Transplantation SurgeryUniversity of Berne, InselspitalBerneSwitzerland
  3. 3.Clinic for AngiologyUniversity of Berne, InselspitalBerneSwitzerland
  4. 4.RadiologyKreisspitalMaennedorfSwitzerland

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