Successful embolization assisted by covered stents for a pseudoaneurysm following pancreatic surgery

作     者：Koji Tanaka Hiroaki Ohigashi Hidenori Takahashi Kunihito Gotoh Terumasa Yamada Isao Miyashiro Masahiko Yano Osamu Ishikawa 

作者机构：Department of SurgeryOsaka Medical Center for Cancer and Cardiovascular Diseases1-3-3 NakamichiHigashinari-kuOsaka 537-8511Japan 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2010年第2卷第9期

页      面：295-298页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Covered stent Hemorrhage Pancreatic surgery Hepatic artery Pseudoaneurysm 

摘      要：Delayed intra-abdominal hemorrhage after pancreatic surgery is a potentially lethal *** coil embolization and/or the placing of an endovascular stent are minimally invasive and effective *** artery that is extensively eroded and rendered friable due to operative skeletonization or postoperative inflammation sometimes contributes to delayed intra-abdominal hemorrhage or rebleeding after coil *** report presents a case of successful management of postoperative hemorrhage in a-74-year-old Japanese *** experienced bleeding from a pseudoaneurysm of the brittle hepatic artery following total *** the pseudoaneurysm was successfully treated with covered coronary stent-grafts,but rebleeding occurred 1 mo later due to the brittleness of the *** was definitively managed by the complete packing of the stent by coil *** remains stable at 18 mo following the f inal embolization.A stent graft can be used for protecting a brittle artery to avoid injury by coil embolization.