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Endovascular Management of Post-Operative Bleeding

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The High-risk Surgical Patient

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Abstract

Surgery can be associated with different risks of postoperative bleeding, which are influenced by patient-related factors, types of intervention, and surgeon’s operative skills. Post-operative bleeding can lead to higher morbidity and mortality as well as a significant economic impact.

Hemorrhage as a post-operative surgical complication has been traditionally been managed surgically; however, over the last two decades, endovascular techniques have been increasingly used successfully. These include coiling, liquid, and particle embolization among others. These minimally invasive techniques now available are safe and cost effective. In this chapter, we will focus on the radiological diagnosis and the role of interventional radiology in the most common clinical settings of post-operative bleeding, after liver surgery, pancreatic surgery, after nephrectomy, liver transplantation, and digestive tract surgery.

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Author information

Authors and Affiliations

  1. Interventional Radiology, AAST GOM Niguarda, Milan, Italy

    Fabiane Barbosa, Francesco Morelli, Angea Alfonsi & Alcide Alessando Azzena

  2. Interventional Radiology, AAST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Pietro Brambillasca & Antonio Rampoldi

  3. Diagnostic Radiology, AAST GOM Niguarda, Milan, Italy

    Pietro Gemma

Authors
  1. Fabiane Barbosa
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  2. Francesco Morelli
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  3. Angea Alfonsi
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  4. Pietro Brambillasca
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  5. Alcide Alessando Azzena
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  6. Pietro Gemma
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  7. Antonio Rampoldi
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Correspondence to Fabiane Barbosa .

Editor information

Editors and Affiliations

  1. Dipartimento di Emergenza Urgenza, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Paolo Aseni

  2. Divisione di Cardiochirurgia, IRCCS Fondazione Policlinico San Matteo, Pavia, Pavia, Italy

    Antonino Massimiliano Grande

  3. Div. of Emerg. Surg., Abdominal Center, Helsinki University Hospital Meilahti, Helsinki, Finland

    Ari Leppäniemi

  4. Department of Pathophysiology and Transplantation, General Surgery and Trauma Team, University of Milano, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Osvaldo Chiara

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Barbosa, F. et al. (2023). Endovascular Management of Post-Operative Bleeding. In: Aseni, P., Grande, A.M., Leppäniemi, A., Chiara, O. (eds) The High-risk Surgical Patient. Springer, Cham. https://doi.org/10.1007/978-3-031-17273-1_33

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  • DOI: https://doi.org/10.1007/978-3-031-17273-1_33

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-17272-4

  • Online ISBN: 978-3-031-17273-1

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