Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 3/2007

01.06.2007

Superior Mesenteric Artery Pseudoaneurysm Following Pancreaticoduodenectomy: Management by Endovascular Stent-Graft Placement and Transluminal Thrombin Injection

verfasst von: Michael J. Wallace, Eugene Choi, Stephen McRae, David C. Madoff, Kamran Ahrar, Peter Pisters

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2007

Einloggen, um Zugang zu erhalten

Abstract

Superior mesenteric artery (SMA) pseudoaneurysm formation is a rare and potentially fatal postoperative complication. Herein we present a case of a large post-pancreaticoduodenectomy SMA pseudoaneurysm that required thrombin injection after initial stent-graft deployment to accomplish complete pseudoaneurysm occlusion.
Literatur
1.
Zurück zum Zitat Okuno A, Miyazaki M, Ito H, Ambiru S, Yoshidome H, Shimizu H, et al (2001) Nonsurgical management of ruptured pseudoaneurysm in patients with hepatobiliary pancreatic diseases. Am J Gastroenterol 96:1067–1071PubMedCrossRef Okuno A, Miyazaki M, Ito H, Ambiru S, Yoshidome H, Shimizu H, et al (2001) Nonsurgical management of ruptured pseudoaneurysm in patients with hepatobiliary pancreatic diseases. Am J Gastroenterol 96:1067–1071PubMedCrossRef
2.
Zurück zum Zitat Cullen JJ, Sarr MG, Ilstrup DM (1994) Pancreatic anastomotic leak after pancreaticoduodenectomy: Incidence, significance, and management. Am J Surg 168:295–298PubMedCrossRef Cullen JJ, Sarr MG, Ilstrup DM (1994) Pancreatic anastomotic leak after pancreaticoduodenectomy: Incidence, significance, and management. Am J Surg 168:295–298PubMedCrossRef
3.
Zurück zum Zitat Reber PU, Baer HU, Patel AG, Wildi S, Triller J, Buchler MW (1998) Superselective microcoil embolization: treatment of choice in high-risk patients with extrahepatic pseudoaneurysms of the hepatic arteries. J Am Coll Surg 186:325–330PubMedCrossRef Reber PU, Baer HU, Patel AG, Wildi S, Triller J, Buchler MW (1998) Superselective microcoil embolization: treatment of choice in high-risk patients with extrahepatic pseudoaneurysms of the hepatic arteries. J Am Coll Surg 186:325–330PubMedCrossRef
4.
Zurück zum Zitat Rumstadt B, Schwab M, Korth P, Samman M, Trede M (1998) Hemorrhage after pancreatoduodenectomy. Ann Surg 227:236–241PubMedCrossRef Rumstadt B, Schwab M, Korth P, Samman M, Trede M (1998) Hemorrhage after pancreatoduodenectomy. Ann Surg 227:236–241PubMedCrossRef
5.
Zurück zum Zitat Sohn TA, Yeo CJ, Cameron JL, Geschwind JF, Mitchell SE, Venbrux AC, et al (2003) Pancreaticoduodenectomy: Role of interventional radiologists in managing patients and complications. J Gastrointest Surg 7:209–219PubMedCrossRef Sohn TA, Yeo CJ, Cameron JL, Geschwind JF, Mitchell SE, Venbrux AC, et al (2003) Pancreaticoduodenectomy: Role of interventional radiologists in managing patients and complications. J Gastrointest Surg 7:209–219PubMedCrossRef
6.
Zurück zum Zitat Balcom JHT, Rattner DW, Warshaw AL, Chang Y, Fernandez-del Castillo C (2001) Ten-year experience with 733 pancreatic resections: Changing indications, older patients, and decreasing length of hospitalization. Arch Surg 136:391–398PubMedCrossRef Balcom JHT, Rattner DW, Warshaw AL, Chang Y, Fernandez-del Castillo C (2001) Ten-year experience with 733 pancreatic resections: Changing indications, older patients, and decreasing length of hospitalization. Arch Surg 136:391–398PubMedCrossRef
7.
Zurück zum Zitat Yeo CJ, Cameron JL, Sohn TA, Lillemoe KD, Pitt HA, Talamini MA, et al (1997) Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: Pathology, complications, and outcomes. Ann Surg 226:248–257; discussion 257–260PubMedCrossRef Yeo CJ, Cameron JL, Sohn TA, Lillemoe KD, Pitt HA, Talamini MA, et al (1997) Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: Pathology, complications, and outcomes. Ann Surg 226:248–257; discussion 257–260PubMedCrossRef
8.
Zurück zum Zitat Pisters PW, Hudec WA, Hess KR, Lee JE, Vauthey JN, Lahoti S, et al (2001) Effect of preoperative biliary decompression on pancreaticoduodenectomy-associated morbidity in 300 consecutive patients. Ann Surg 234:47–55PubMedCrossRef Pisters PW, Hudec WA, Hess KR, Lee JE, Vauthey JN, Lahoti S, et al (2001) Effect of preoperative biliary decompression on pancreaticoduodenectomy-associated morbidity in 300 consecutive patients. Ann Surg 234:47–55PubMedCrossRef
9.
Zurück zum Zitat Otah E, Cushin BJ, Rozenblit GN, Neff R, Otah KE, Cooperman AM (2002) Visceral artery pseudoaneurysms following pancreatoduodenectomy. Arch Surg 137:55–59PubMedCrossRef Otah E, Cushin BJ, Rozenblit GN, Neff R, Otah KE, Cooperman AM (2002) Visceral artery pseudoaneurysms following pancreatoduodenectomy. Arch Surg 137:55–59PubMedCrossRef
10.
Zurück zum Zitat Appel N, Duncan JR, Schuerer DJ (2003) Percutaneous stent-graft treatment of superior mesenteric and internal iliac artery pseudoaneurysms. J Vasc Interv Radiol 14:917–922PubMed Appel N, Duncan JR, Schuerer DJ (2003) Percutaneous stent-graft treatment of superior mesenteric and internal iliac artery pseudoaneurysms. J Vasc Interv Radiol 14:917–922PubMed
11.
Zurück zum Zitat Seriki DM, Abidia A, Butterfield JS, Ashleigh RJ, McCollum CN (2004) Endovascular stent-graft: treatment of pseudoaneurysm of the superior mesenteric artery. Cardiovasc Intervent Radiol 27:271–273PubMedCrossRef Seriki DM, Abidia A, Butterfield JS, Ashleigh RJ, McCollum CN (2004) Endovascular stent-graft: treatment of pseudoaneurysm of the superior mesenteric artery. Cardiovasc Intervent Radiol 27:271–273PubMedCrossRef
12.
Zurück zum Zitat Rocek M, Peregrin JH, Dutka J, Ryska M, Belina F, Lastovckova J (2002) Percutaneous treatment of a superior mesenteric artery pseudoaneurysm using a stent-graft. AJR Am J Roentgenol 178:1459–1461PubMed Rocek M, Peregrin JH, Dutka J, Ryska M, Belina F, Lastovckova J (2002) Percutaneous treatment of a superior mesenteric artery pseudoaneurysm using a stent-graft. AJR Am J Roentgenol 178:1459–1461PubMed
13.
Zurück zum Zitat Sato Y, Ogino H, Hara M, Satake M, Oshima H, Banno T, et al (2003) Embolization of collateral vessels using mechanically detachable coils in young children with congenital heart disease. Cardiovasc Intervent Radiol 26:528–533PubMedCrossRef Sato Y, Ogino H, Hara M, Satake M, Oshima H, Banno T, et al (2003) Embolization of collateral vessels using mechanically detachable coils in young children with congenital heart disease. Cardiovasc Intervent Radiol 26:528–533PubMedCrossRef
14.
Zurück zum Zitat Gandini R, Pipitone V, Konda D, Pendenza G, Spinelli A, Stefanini M, et al. (2005) Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft. Cardiovasc Intervent Radiol 28:102–106PubMedCrossRef Gandini R, Pipitone V, Konda D, Pendenza G, Spinelli A, Stefanini M, et al. (2005) Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft. Cardiovasc Intervent Radiol 28:102–106PubMedCrossRef
15.
Zurück zum Zitat Tan M, Di Carlo A, Stein LA, Cantarovich M, Tchervenkov JI, Metrakos P (2001) Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transpaltion 72:336–338CrossRef Tan M, Di Carlo A, Stein LA, Cantarovich M, Tchervenkov JI, Metrakos P (2001) Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transpaltion 72:336–338CrossRef
16.
Zurück zum Zitat Miyamoto N, Kodama Y, Endo H, Shimizu T, Miyasaka K (2003) Hepatic artery embolization for postoperative hemorrhage in upper abdominal surgery. Abdom Imaging 28:347–353PubMedCrossRef Miyamoto N, Kodama Y, Endo H, Shimizu T, Miyasaka K (2003) Hepatic artery embolization for postoperative hemorrhage in upper abdominal surgery. Abdom Imaging 28:347–353PubMedCrossRef
17.
Zurück zum Zitat d’Othee BJ, Surapaneni P, Rabkin D, Nasser I, Clouse M (2006) Microcoil embolization for acute lower gastrointestinal bleeding. Cardiovasc Intervent Radiol 29:49–58PubMedCrossRef d’Othee BJ, Surapaneni P, Rabkin D, Nasser I, Clouse M (2006) Microcoil embolization for acute lower gastrointestinal bleeding. Cardiovasc Intervent Radiol 29:49–58PubMedCrossRef
18.
Zurück zum Zitat Luchtefeld MA, Senagore AJ, Szomstein M, Fedeson B, Van Erp J, Rupp S (2000) Evaluation of transarterial embolization for lower gastrointestinal bleeding. Dis Colon Rectum 43:532–534PubMedCrossRef Luchtefeld MA, Senagore AJ, Szomstein M, Fedeson B, Van Erp J, Rupp S (2000) Evaluation of transarterial embolization for lower gastrointestinal bleeding. Dis Colon Rectum 43:532–534PubMedCrossRef
19.
Zurück zum Zitat Evangelista PT, Hallisey MJ (2000) Transcatheter embolization for acute lower gastrointestinal hemorrhage. J Vasc Interv Radiol 11:601–606PubMed Evangelista PT, Hallisey MJ (2000) Transcatheter embolization for acute lower gastrointestinal hemorrhage. J Vasc Interv Radiol 11:601–606PubMed
20.
Zurück zum Zitat Funaki B, Kostelic JK, Lorenz J, Ha TV, Yip DL, Rosenblum JD, et al (2001) Superselective microcoil embolization of colonic hemorrhage. AJR Am J Roentgenol 177:829–836PubMed Funaki B, Kostelic JK, Lorenz J, Ha TV, Yip DL, Rosenblum JD, et al (2001) Superselective microcoil embolization of colonic hemorrhage. AJR Am J Roentgenol 177:829–836PubMed
21.
Zurück zum Zitat Kuo WT, Lee DE, Saad WE, Patel N, Sahler LG, Waldman DL (2003) Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 14:1503–1509PubMed Kuo WT, Lee DE, Saad WE, Patel N, Sahler LG, Waldman DL (2003) Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 14:1503–1509PubMed
22.
Zurück zum Zitat Hama Y, Iwasaki Y, Kaji T, Hatsuse K, Kusano S (2002) Coil compaction after embolization of the superior mesenteric artery pseudoaneurysm. Eur Radiol 12[Suppl 3]:S189–191PubMed Hama Y, Iwasaki Y, Kaji T, Hatsuse K, Kusano S (2002) Coil compaction after embolization of the superior mesenteric artery pseudoaneurysm. Eur Radiol 12[Suppl 3]:S189–191PubMed
23.
Zurück zum Zitat Criado E, Gasparis A (2004) Transluminal thrombin injection and exclusion of a paramesenteric abdominal aortic aneurysm. J Vasc Surg 39:1118–1121PubMedCrossRef Criado E, Gasparis A (2004) Transluminal thrombin injection and exclusion of a paramesenteric abdominal aortic aneurysm. J Vasc Surg 39:1118–1121PubMedCrossRef
24.
Zurück zum Zitat Patel JV, Weston MJ, Kessel DO, Prasad R, Toogood GJ, Robertson I (2003) Hepatic artery pseudoaneurysm after liver transplantation: Treatment with percutaneous thrombin injection. Transplantation 75:1755–1757PubMedCrossRef Patel JV, Weston MJ, Kessel DO, Prasad R, Toogood GJ, Robertson I (2003) Hepatic artery pseudoaneurysm after liver transplantation: Treatment with percutaneous thrombin injection. Transplantation 75:1755–1757PubMedCrossRef
25.
Zurück zum Zitat Manazer JR, Monzon JR, Dietz PA, Moglia R, Gold M (2003) Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg 38:600–602PubMedCrossRef Manazer JR, Monzon JR, Dietz PA, Moglia R, Gold M (2003) Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg 38:600–602PubMedCrossRef
Metadaten
Titel
Superior Mesenteric Artery Pseudoaneurysm Following Pancreaticoduodenectomy: Management by Endovascular Stent-Graft Placement and Transluminal Thrombin Injection
verfasst von
Michael J. Wallace
Eugene Choi
Stephen McRae
David C. Madoff
Kamran Ahrar
Peter Pisters
Publikationsdatum
01.06.2007
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2007
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-006-0109-5

Weitere Artikel der Ausgabe 3/2007

CardioVascular and Interventional Radiology 3/2007 Zur Ausgabe

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.