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Coronary covered stents in the management of late-onset arterial complications post-hepato-pancreato-biliary surgery

  • Interventional Radiology
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Abstract

Purpose

To retrospectively evaluate the safety, efficacy, and late clinical outcome of coronary covered stent placement for the treatment of late-onset arterial complications after hepato-pancreato-biliary surgery.

Materials and methods

Consecutive patients presenting with post-hepato-pancreato-biliary surgery-related arterial lesions and subsequently treated with a covered coronary stent in the authors institution between January 2012 and November 2021 were included. Primary endpoints were technical and clinical success; secondary endpoints were covered stent patency and end-organ perfusion of the affected artery.

Results

The study included 22 patients (13 men and 9 women) with a mean age of 67 years ± 9.6 years. Initial surgery included pancreaticoduodenectomy (n = 15; 68%), liver transplantation (n = 2; 9%), left hepatectomy (n = 1; 5%), bile duct resection (n = 1; 5%), hepatogastrostomy (n = 1; 5%), and segmental enterectomy (n = 1; 5%). Technically, coronary covered stents were successfully placed in n = 22 patients (100%) without immediate complication. Definitive bleeding control was observed in n = 18 patients (81.1%) with recurrent bleeding within 30 days postintervention in n = 5 patients (23%). No ischemic liver or biliary complications occurred during the follow-up period. The 30-day mortality rate was 0%.

Conclusion

Coronary covered stents are a safe and efficient treatment option in most of the patients presenting with late-onset postoperative arterial injuries following hepato-pancreato-biliary surgery and are associated with an acceptable recurrent bleeding rate and no late, ischemic, parenchymal complications.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Radiology, University Hospitals KU Leuven, Herestraat 49, 3000, Leuven, Belgium

    Wout Vermeersch, Lawrence Bonne, Eveline Claus & Geert Maleux

  2. Department of Abdominal Surgery, University Hospitals KU Leuven, Leuven, Belgium

    Halit Topal, Joris Jaekers & Baki Topal

  3. Department of Public Health and Primary Care, Leuven Biostatistics and Statistical Bioinformatics Centre, Leuven, Belgium

    Annouschka Laenen

  4. Department of Abdominal Transplant Surgery, University Hospitals KU Leuven, Leuven, Belgium

    Jacques Pirenne

Authors
  1. Wout Vermeersch
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  2. Halit Topal
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  3. Annouschka Laenen
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  4. Lawrence Bonne
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  5. Eveline Claus
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  6. Joris Jaekers
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  7. Jacques Pirenne
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  8. Baki Topal
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  9. Geert Maleux
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Contributions

All authors contributed to the writing of the manuscript and they all have read and approved the final manuscript.

Corresponding author

Correspondence to Geert Maleux.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Research Ethics Committee of the University Hospitals Leuven granted favorable advice for this retrospective analysis (MP017819).

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Vermeersch, W., Topal, H., Laenen, A. et al. Coronary covered stents in the management of late-onset arterial complications post-hepato-pancreato-biliary surgery. Abdom Radiol 48, 2406–2414 (2023). https://doi.org/10.1007/s00261-023-03906-0

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  • DOI: https://doi.org/10.1007/s00261-023-03906-0

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