Treatment of right hepatic artery stump bleeding after pylorus-preserving pancreaticoduodenectomy by covered stent endoprosthesis placement

Elif Can; Severin Daum; Julian Lenk; Sophia Paparoditis; Clarissa Hosse; Aboelyazid Elkilany; Maximilian de Bucourt

doi:10.1016/j.radcr.2023.01.023

Treatment of right hepatic artery stump bleeding after pylorus-preserving pancreaticoduodenectomy by covered stent endoprosthesis placement

Radiol Case Rep. 2023 Feb 2;18(4):1494-1497. doi: 10.1016/j.radcr.2023.01.023. eCollection 2023 Apr.

Authors

Elif Can¹, Severin Daum², Julian Lenk¹, Sophia Paparoditis¹, Clarissa Hosse¹, Aboelyazid Elkilany¹, Maximilian de Bucourt¹

Affiliations

¹ Department of Diagnostic and Interventional Radiology, Charité-Universitätsmedizin Berlin, Hindenburgdamm 30, 12200, Berlin, Germany.
² Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Department for Medicine (Gastroenterology, Infectious Diseases, Rheumatology), Hindenburgdamm 30, 12200, Berlin, Germany.

Abstract

Serious complications after pancreaticoduodenectomy include rupture of pseudoaneurysms arising from pancreatic fistula and pancreatojejunostomy leakage. We report a case of successful endovascular minimally invasive treatment using a covered stent endoprosthesis of a right hepatic artery stump bleeding following pylorus-preserving pancreaticoduodenectomy that was not suitable for coil or glue embolization due to an insufficiently short neck.

Keywords: Arterial Intervention; Hemorrhage; Hepatic artery; Pylorus-preserving pancreaticoduodenectomy; Stent endoprosthesis.

Publication types

Case Reports