Stent-Graft Treatment for Bleeding Superior Mesenteric Artery Pseudoaneurysm After Pancreaticoduodenectomy

被引:25
作者
Suzuki, Kojiro [1 ]
Mori, Yoshine [1 ]
Komada, Tomohiro [1 ]
Matsushima, Masaya [1 ]
Ota, Toyohiro [1 ]
Naganawa, Shinji [1 ]
机构
[1] Nagoya Univ, Dept Radiol, Grad Sch Med, Shouwa Ku, Nagoya, Aichi 4648601, Japan
关键词
Stent-graft; Infection; Superior mesenteric artery; Pseudoaneurysm; Rupture; Pancreaticoduodenectomy; ENDOVASCULAR REPAIR; MANAGEMENT; HEMORRHAGE;
D O I
10.1007/s00270-009-9502-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report two cases of intraperitoneal bleeding from superior mesenteric artery (SMA) pseudoaneurysm after pancreaticoduodenectomy for pancreatic head carcinoma. In both cases, a stent-graft was deployed on the main SMA to exclude pseudoaneurysm and to preserve blood flow to the bowel. Bleeding stopped after the procedure. One patient was able to be discharged but died from carcinoma recurrence 4 months later. The other patient died of sepsis and stent-graft infection 5 months later. These patients remained free of intraperitoneal rebleeding during the follow-up period.
引用
收藏
页码:762 / 766
页数:5
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