Stent grafting of acute hepatic artery bleeding following pancreatic head resection
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-o...
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| Veröffentlicht in: | European radiology 2007-02, Vol.17 (2), p.401-408 |
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| creator | Stoupis, Christoforos Ludwig, Karin Inderbitzin, Daniel Do, Dai-Do Triller, Juergen |
| description | 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 hemorrhage 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. |
| doi_str_mv | 10.1007/s00330-006-0359-2 |
| format | Article |
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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 hemorrhage 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.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-006-0359-2</identifier><identifier>PMID: 16932877</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Acute Disease ; Aged ; Angiography ; Balloon Occlusion - instrumentation ; Balloon Occlusion - methods ; Bleeding ; Blood Vessel Prosthesis Implantation - instrumentation ; Blood Vessel Prosthesis Implantation - methods ; Cardiovascular system ; Diverticulum - surgery ; Duodenal Diseases - surgery ; Emergency procedures ; Follow-Up Studies ; Grafting ; Hemorrhage ; Hepatic artery ; Hepatic Artery - diagnostic imaging ; Hepatic Artery - physiopathology ; Hepatic Artery - surgery ; Humans ; Implants ; Liver transplantation ; Male ; Medical imaging ; Middle Aged ; Monorails ; Pancreas ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy - adverse effects ; Pancreatitis, Chronic - surgery ; Postoperative Hemorrhage - diagnostic imaging ; Postoperative Hemorrhage - etiology ; Postoperative Hemorrhage - therapy ; Reoperation ; Stents ; Surgical implants ; Survival Analysis ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Patency</subject><ispartof>European radiology, 2007-02, Vol.17 (2), p.401-408</ispartof><rights>Springer-Verlag 2006.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-7fa84f336234dc7c814c86eb9093ecf9ba12382542b06bc2615b0085ce5442fa3</citedby><cites>FETCH-LOGICAL-c436t-7fa84f336234dc7c814c86eb9093ecf9ba12382542b06bc2615b0085ce5442fa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16932877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stoupis, Christoforos</creatorcontrib><creatorcontrib>Ludwig, Karin</creatorcontrib><creatorcontrib>Inderbitzin, Daniel</creatorcontrib><creatorcontrib>Do, Dai-Do</creatorcontrib><creatorcontrib>Triller, Juergen</creatorcontrib><title>Stent grafting of acute hepatic artery bleeding following pancreatic head resection</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>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 hemorrhage 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.</description><subject>Acute Disease</subject><subject>Aged</subject><subject>Angiography</subject><subject>Balloon Occlusion - instrumentation</subject><subject>Balloon Occlusion - methods</subject><subject>Bleeding</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Cardiovascular system</subject><subject>Diverticulum - surgery</subject><subject>Duodenal Diseases - surgery</subject><subject>Emergency procedures</subject><subject>Follow-Up Studies</subject><subject>Grafting</subject><subject>Hemorrhage</subject><subject>Hepatic artery</subject><subject>Hepatic Artery - diagnostic imaging</subject><subject>Hepatic Artery - physiopathology</subject><subject>Hepatic Artery - surgery</subject><subject>Humans</subject><subject>Implants</subject><subject>Liver transplantation</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Monorails</subject><subject>Pancreas</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>Pancreatitis, Chronic - surgery</subject><subject>Postoperative Hemorrhage - diagnostic imaging</subject><subject>Postoperative Hemorrhage - etiology</subject><subject>Postoperative Hemorrhage - therapy</subject><subject>Reoperation</subject><subject>Stents</subject><subject>Surgical implants</subject><subject>Survival Analysis</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpdkEtLAzEUhYMotlZ_gBsZENyN3jxmkiyl-IKCi-o6ZNKbOjKdqUkG6b93xhYEV_cuvnM4fIRcUrilAPIuAnAOOUCZAy90zo7IlArOcgpKHJMpaK5yqbWYkLMYPwFAUyFPyYSWmjMl5ZQslwnblK2D9alu11nnM-v6hNkHbm2qXWZDwrDLqgZxNQK-a5rue_y2tnUBf6EPtKssYESX6q49JyfeNhEvDndG3h8f3ubP-eL16WV-v8id4GXKpbdKeM5LxsXKSaeocKrESg-z0XldWcq4YoVgFZSVYyUtKgBVOCyEYN7yGbnZ925D99VjTGZTR4dNY1vs-mhKpZnkWg7g9T_ws-tDO2wznDIpgAOwgaJ7yoUuxoDebEO9sWFnKJjRt9n7NoNvM_o2Y-bq0NxXG1z9JQ6C-Q-ivHqa</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Stoupis, Christoforos</creator><creator>Ludwig, Karin</creator><creator>Inderbitzin, Daniel</creator><creator>Do, Dai-Do</creator><creator>Triller, Juergen</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Stent grafting of acute hepatic artery bleeding following pancreatic head resection</title><author>Stoupis, Christoforos ; Ludwig, Karin ; Inderbitzin, Daniel ; Do, Dai-Do ; Triller, Juergen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-7fa84f336234dc7c814c86eb9093ecf9ba12382542b06bc2615b0085ce5442fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Aged</topic><topic>Angiography</topic><topic>Balloon Occlusion - instrumentation</topic><topic>Balloon Occlusion - methods</topic><topic>Bleeding</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Cardiovascular system</topic><topic>Diverticulum - surgery</topic><topic>Duodenal Diseases - surgery</topic><topic>Emergency procedures</topic><topic>Follow-Up Studies</topic><topic>Grafting</topic><topic>Hemorrhage</topic><topic>Hepatic artery</topic><topic>Hepatic Artery - diagnostic imaging</topic><topic>Hepatic Artery - physiopathology</topic><topic>Hepatic Artery - surgery</topic><topic>Humans</topic><topic>Implants</topic><topic>Liver transplantation</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Monorails</topic><topic>Pancreas</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy - adverse effects</topic><topic>Pancreatitis, Chronic - surgery</topic><topic>Postoperative Hemorrhage - diagnostic imaging</topic><topic>Postoperative Hemorrhage - etiology</topic><topic>Postoperative Hemorrhage - therapy</topic><topic>Reoperation</topic><topic>Stents</topic><topic>Surgical implants</topic><topic>Survival Analysis</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stoupis, Christoforos</creatorcontrib><creatorcontrib>Ludwig, Karin</creatorcontrib><creatorcontrib>Inderbitzin, Daniel</creatorcontrib><creatorcontrib>Do, Dai-Do</creatorcontrib><creatorcontrib>Triller, Juergen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stoupis, Christoforos</au><au>Ludwig, Karin</au><au>Inderbitzin, Daniel</au><au>Do, Dai-Do</au><au>Triller, Juergen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stent grafting of acute hepatic artery bleeding following pancreatic head resection</atitle><jtitle>European radiology</jtitle><addtitle>Eur Radiol</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>17</volume><issue>2</issue><spage>401</spage><epage>408</epage><pages>401-408</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><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 hemorrhage 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.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16932877</pmid><doi>10.1007/s00330-006-0359-2</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Disease Aged Angiography Balloon Occlusion - instrumentation Balloon Occlusion - methods Bleeding Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - methods Cardiovascular system Diverticulum - surgery Duodenal Diseases - surgery Emergency procedures Follow-Up Studies Grafting Hemorrhage Hepatic artery Hepatic Artery - diagnostic imaging Hepatic Artery - physiopathology Hepatic Artery - surgery Humans Implants Liver transplantation Male Medical imaging Middle Aged Monorails Pancreas Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Pancreatitis, Chronic - surgery Postoperative Hemorrhage - diagnostic imaging Postoperative Hemorrhage - etiology Postoperative Hemorrhage - therapy Reoperation Stents Surgical implants Survival Analysis Tomography, X-Ray Computed Treatment Outcome Vascular Patency |
| title | Stent grafting of acute hepatic artery bleeding following pancreatic head resection |
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