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Title: Pseudoaneurysms of the Common Hepatic Artery Following Pancreaticoduodenectomy: Successful Emergency Embolization

Abstract

We report a rare case of two communicating pseudoaneurysms of the common hepatic artery 1 month postoperatively following pylorus-preserving pancreaticoduodenectomy due an abscess formation. We describe the superselective transcatheteral embolization technique with deployment of interlocking detachable coils and Histoacryl-Lipiodol in this case and discuss the recent literature. Despite the technical success by achieving hemodynamic stability with initial preservation of liver function, the patient died 23 days postembolization due to multiorgan failure.

Authors:
; ; ;  [1];  [2]; ;  [1]
+ Show Author Affiliations
  1. University Hospital Heidelberg, Department of Diagnostic Radiology (Germany)
  2. University Hospital Heidelberg, Department of Surgery (Germany)
Publication Date:
OSTI Identifier:
21091065
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 30; Journal Issue: 1; Other Information: DOI: 10.1007/s00270-005-0372-x; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; ACCIDENTS; ARTERIES; FAILURES; LIPIODOL; LIVER

Citation Formats

Radeleff, Boris, E-mail: Boris_radeleff@med.uni-heidelberg.de, Noeldge, Gerd, Heye, Tobias, Schlieter, Martin, Friess, Helmut, Richter, Goetz M., and Kauffmann, Guenter W. Pseudoaneurysms of the Common Hepatic Artery Following Pancreaticoduodenectomy: Successful Emergency Embolization. United States: N. p., 2007. Web. doi:10.1007/S00270-005-0372-X.
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Radeleff, Boris, E-mail: Boris_radeleff@med.uni-heidelberg.de, Noeldge, Gerd, Heye, Tobias, Schlieter, Martin, Friess, Helmut, Richter, Goetz M., & Kauffmann, Guenter W. Pseudoaneurysms of the Common Hepatic Artery Following Pancreaticoduodenectomy: Successful Emergency Embolization. United States. doi:10.1007/S00270-005-0372-X.
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Radeleff, Boris, E-mail: Boris_radeleff@med.uni-heidelberg.de, Noeldge, Gerd, Heye, Tobias, Schlieter, Martin, Friess, Helmut, Richter, Goetz M., and Kauffmann, Guenter W. Thu . "Pseudoaneurysms of the Common Hepatic Artery Following Pancreaticoduodenectomy: Successful Emergency Embolization". United States. doi:10.1007/S00270-005-0372-X.
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@article{osti_21091065,
title = {Pseudoaneurysms of the Common Hepatic Artery Following Pancreaticoduodenectomy: Successful Emergency Embolization},
author = {Radeleff, Boris, E-mail: Boris_radeleff@med.uni-heidelberg.de and Noeldge, Gerd and Heye, Tobias and Schlieter, Martin and Friess, Helmut and Richter, Goetz M. and Kauffmann, Guenter W.},
abstractNote = {We report a rare case of two communicating pseudoaneurysms of the common hepatic artery 1 month postoperatively following pylorus-preserving pancreaticoduodenectomy due an abscess formation. We describe the superselective transcatheteral embolization technique with deployment of interlocking detachable coils and Histoacryl-Lipiodol in this case and discuss the recent literature. Despite the technical success by achieving hemodynamic stability with initial preservation of liver function, the patient died 23 days postembolization due to multiorgan failure.},
doi = {10.1007/S00270-005-0372-X},
journal = {Cardiovascular and Interventional Radiology},
number = 1,
volume = 30,
place = {United States},
year = {Thu Feb 15 00:00:00 EST 2007},
month = {Thu Feb 15 00:00:00 EST 2007}
}
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Journal Article:
DOI:  10.1007/S00270-005-0372-X
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  • ; ; ; ... - Cardiovascular and Interventional Radiology
    PurposeTo describe the incidence of multiple renal artery pseudoaneurysms (PSA) in patients referred for renal artery embolization following partial nephrectomy and to study its relationship to RENAL nephrometry scores.Materials and MethodsThe medical records of 25 patients referred for renal artery embolization after partial nephrectomy were retrospectively reviewed for the following parameters: size and number of tumors, RENAL nephrometry scores, angiographic abnormalities, technical and clinical outcomes, and estimated glomerular filtration rates (eGFRs) after embolization.ResultsTwenty-four patients had primary renal tumors, while 1 patient had a pancreatic tumor invading the kidney. Multiple tumors were resected in 4 patients. Most patients (92 %) were symptomatic,more » presenting with gross hematuria, flank pain, or both. Angiography revealed PSA with (n = 5) or without (n = 20) AV fistulae. Sixteen patients (64 %) had multiple PSA involving multiple renal vessels. Higher RENAL nephrometry scores were associated with an increasing likelihood of multiple PSA. Multiple vessels were embolized in 14 patients (56 %). Clinical success was achieved after one (n = 22) or two (n = 3) embolization sessions in all patients. Post-embolization eGFR values at different time points after embolization were not significantly different from the post-operative eGFR.ConclusionA majority of patients requiring renal artery embolization following partial nephrectomy have multiple pseudoaneurysms, often requiring selective embolization of multiple vessels. Higher RENAL nephrometry score is associated with an increasing likelihood of multiple pseudoaneurysms. We found transarterial embolization to be a safe and effective treatment option with no long-term adverse effect on renal function in all but one patient with a solitary kidney.« less

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  • ; ; ; ... - Cardiovascular and Interventional Radiology
    No abstract prepared.