Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases (VASCULAR & INTERVENTIONAL RADIOLOGY)

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Kim Yook; Lee Jisun; Yi Kyung Sik; Lee Soo Hyun; CHO BUM SANG; Park Kil Sun

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Journal Paper

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Journal: Iranian Journal of Radiology Year:2019 | Volume:16 | Issue:2 Page(s): 0-0

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Title

Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases (VASCULAR & INTERVENTIONAL RADIOLOGY)

Author(s)

Keywords

Pancreatectomy

Hemorrhage

Embolization

Therapeutic

Arteries

Anatomic Variation

Dorsal Pancreatic Artery (DPA)

Abstract

PostPancreatectomy Hemorrhage (PPH) is a rare but serious complication that can lead to death. Although the best treatment option forPPHremains controversial, transcatheter arterial Embolization (TAE) has recentlybeenintroduced as a treatment with safety and efficacy, showing low morbidity and mortality, especially in late PPH (> 24 h after surgery). The most common location for PPH is the gastroduodenal artery stump; however, Hemorrhage may occur from unusual sources, such as the dorsal pancreatic artery (DPA), which is often difficult to detect on angiography. Herein, the authors report three cases of delayed PPH from the DPA, occurring after a Frey procedure in one case and after pylorus-preserving pancreaticoduodenectomy in the other two. All patients were successfully treated using TAE. Although the involved artery was not identified on the first angiography in two patients, rebleeding was successfully managed by repeated endovascular procedures. Therefore, a careful and repetitive approach, based on awareness of the various causes of PPH, could increase the success rate of TAE.

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APA: Copy

Kim, Yook, Lee, Jisun, Yi, Kyung Sik, Lee, Soo Hyun, CHO, BUM SANG, & Park, Kil Sun. (2019). Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases (VASCULAR & INTERVENTIONAL RADIOLOGY). IRANIAN JOURNAL OF RADIOLOGY, 16(2), 0-0. SID. https://sid.ir/paper/284503/en

Vancouver: Copy

Kim Yook, Lee Jisun, Yi Kyung Sik, Lee Soo Hyun, CHO BUM SANG, Park Kil Sun. Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases (VASCULAR & INTERVENTIONAL RADIOLOGY). IRANIAN JOURNAL OF RADIOLOGY[Internet]. 2019;16(2):0-0. Available from: https://sid.ir/paper/284503/en

IEEE: Copy

Yook Kim, Jisun Lee, Kyung Sik Yi, Soo Hyun Lee, BUM SANG CHO, and Kil Sun Park, “Transcatheter Arterial Embolization for Late Postpancreatectomy Hemorrhage of Unusual Origin (Dorsal Pancreatic Artery): A Report of Three Cases (VASCULAR & INTERVENTIONAL RADIOLOGY),” IRANIAN JOURNAL OF RADIOLOGY, vol. 16, no. 2, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/284503/en

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