Coronary covered stents in the management of late-onset arterial complications post-hepato-pancreato-biliary surgery.
Covered stent
Hemorrhage
Postoperative
Visceral artery
Journal
Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
06
02
2023
accepted:
28
03
2023
revised:
27
03
2023
medline:
31
5
2023
pubmed:
14
4
2023
entrez:
13
4
2023
Statut:
ppublish
Résumé
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. 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. 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%. 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.
Identifiants
pubmed: 37055587
doi: 10.1007/s00261-023-03906-0
pii: 10.1007/s00261-023-03906-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2406-2414Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Huo Y, Chi J, Liu W, Liu D, Li J, Yang J, Hua R, Sun Y (2015) Endovascular intervention for delayed post-pancreaticoduodenectomy hemorrhage: clinical features and outcomes of transcatheter arterial embolization and covered stent placement. Int J Exp Med 8: 7457-7466.
Rumstadt B, Schwab M, Korth P et al. (1998) Hemorrhage after pancreatoduodenectomy. Ann Surg 227: 236-41.
doi: 10.1097/00000658-199802000-00013
pubmed: 9488522
pmcid: 1191241
Topal H, Jaekers J, Geers J, Topal B. (2022) Prospective cohort study on short-term outcomes of 3D-laparoscopic pancreaticoduodenectomy with stented pancreaticogastrostomy. Surg Endosc Online ahead pub.
Paez-Carpio A, Serrano E, Zarco F, Fondevila C, Burrel M. (2020) Arterio-biliary fistula caused by a hepatic artery pseudonaneurysm in a recently performed liver transplant : successful resolution and long-term liver implant preservation using a coronary covered stent. CVIR Endovascular 3: 93.
doi: 10.1186/s42155-020-00191-6
pubmed: 33289857
pmcid: 7724017
Muraoka N, Uematsu H, Kinoshita K, et al. (2005) Covered coronary stent graft in the treatment of hepatic artery pseudoaneurysm after liver transplantation. J Vasc Intervent Radiol 16: 300-302.
doi: 10.1097/01.RVI.0000145226.08478.28
Maleux G, Pirenne J, Aerts R, Nevens F (2005) Case report: hepatic artery pseudoaneurysm after liver transplantation: definitive treatment with a stent-graft after failed coil embolization. Br J Radiol 78: 453-456.
doi: 10.1259/bjr/12679319
pubmed: 15845944
Wente M, Veit J, Bassi C, Dervenis C, Fingerhut A, Gouma D, Izbicki J, Neoptolemos J, Padbury R, Sarr M, Yeo C, Buchler M (2007) Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery 142: 20-25.
doi: 10.1016/j.surg.2007.02.001
pubmed: 17629996
Sato N, Yamaguchi K, Shimizu S et al (1998) Coil embolization of the bleeding visceral pseudoaneurysms following pancreatectomy: the importance of early angiography. Arch Surg 133: 1099 – 1102.
doi: 10.1001/archsurg.133.10.1099
pubmed: 9790208
De Castro S, Kuhlmann K, Busch O et al (2005) Delayed massive hemorrhage after pancreatic and biliary surgery. Embolization or surgery? Ann Surg 241: 85-91.
doi: 10.1097/01.sla.0000150169.22834.13
pubmed: 15621995
pmcid: 1356850
Gaudon C, Soussan J, Louis G, Moutardier V, Gregoire E, Vidal V (2016) Late postpancreatectomy hemorrhage: Predictive factors of morbidity and mortality after percutaneous endovascular treatment. Diagn Intervent Imaging 97: 1071 – 1077.
doi: 10.1016/j.diii.2016.08.003
Venturini M, Angeli E, Salvioni M et al (2002) Hemorrhage from a right hepatic artery pseudoaneurysm: endovascular treatment with a coronary stent-graft. J Endovasc Ther 9: 221-224.
doi: 10.1177/152660280200900215
pubmed: 12010105
Hasegawa T, Ota H, Matsuura T, Seiji K, Mugikura S, Motoi F, Unno M, Takase K (2017) Endovascular treatment of hepatic artery pseudoaneurysm after pancreaticoduodenectomy: Risk factors associated with mortality and complications. J Vasc Intervent Radiol 28: 50-59.
doi: 10.1016/j.jvir.2016.04.004
Nozawa Y, Ymazoe S, Masuda K, Takigawa Y, Kobashi Y, Ikeda K, Fukuda T, Michimoto K (2022) Efficacy and safety of endovascular therapy for delayed hepatic artery post-pancreatectomy hemorrhage: development of extrahepatic collateral circucation and complications post endovascular therapy. CVIR Endovascular 5: 47.
doi: 10.1186/s42155-022-00326-x
pubmed: 36063252
pmcid: 9445144
Hankins D, Chao S, Dolmatch B, Jeyarajah R (2009) Covered stents for late postoperative arterial hemorrhage after pancreaticoduodenectomy. J Vasc Intervent Radiol 20: 407-409.
doi: 10.1016/j.jvir.2008.11.020
Heiss P, Bachthaler M, Hamer O, Piso P, Herold T, Schlitt H, Feuerbach S, Zorger N (2007) Delayed visceral arterial hemorrhage following Whipple’s procedure: Minimally invasive treatment with covered stents. Ann Surg Oncol 15: 824-832.
doi: 10.1245/s10434-007-9715-y
pubmed: 18074185
Belleman N, Sommer C, Mokry T, Kortes N, Gnutzmann D, Glockner T et al (2014) Hepatic artery stent-grafts for the emergency treatment of acute bleeding. Eur J Radiol 83: 1799-1803.
doi: 10.1016/j.ejrad.2014.06.030
Wolk S, Radosa C, Distler M, Held H, Kühn J, Weitz J, Welsch T, Hoffmann R (2020) Risk factors for in-hospital mortality after transarterial intervention after postpancreatectomy hemorrhage. Cardiovasc Intervent Radiol 43: 1342-1352.
doi: 10.1007/s00270-020-02509-2
pubmed: 32435837
pmcid: 7441056
Ueda T, Murata S, Tajima H, Saito H, Yasui D, Sugihara F, Mizushima S, Mine T, Kawamata H, Hayashi H, Kumita (2022). Endovascular treatment with Viabahn stent-grafts for arterial injury and bleeding at the visceral arteries: initial and midterm results. Jap J Radiol 40: 202-209.
doi: 10.1007/s11604-021-01192-8
Ching K, Santos E, McCluskey K, Orons P, Bandi R, Friend C, Xing M, Zureikat A, Zeh H (2016) Covered stents and coil embolization for treatment of postpancreatectomy arterial hemorrhage. J Vasc Intervent Radiol 27: 73-79.
doi: 10.1016/j.jvir.2015.09.024
Lin Y, Lin E, Tseng H, Lee R, Huang H, Wang S, Shyr Y, Liu C (2021) Preventive covered stent placement at the gastroduodenal artery stump in angiogram-negative sentinel hemorrhage after pancreaticoduodenectomy. Abdom Radiol 46: 4995-5006.
doi: 10.1007/s00261-021-03123-7
Hasshold N, Wolfschmidt F, Dierks A, Klein I, Bley T, Kickuth R (2016) Effectiveness and outcome of endovascular therapy for late-onset postpancreatectomy hemorrhage using covered stents and embolization. J Vasc Surg 64: 1373-1383.
doi: 10.1016/j.jvs.2016.05.071
Min H, Yoon J, Lee J, Choi W, Yeo J, Yoon Y, Cho J, Lee H, Lee J (2022) Covered stent placement for gastroduodenal artery stump hemorrhage after pancreaticoduodenectomy: lon-term patency and risk factors for stent failure. Br J Radiol online