Stent-grafts placement for treatment of massive hemorrhage from ruptured hepatic artery after pancreaticoduodenectomy

Table 1 Clinical data about the patients with bleeding hepatic artery pseudoaneurysm following pancreaticoduodenectomy treated with stent grafts placement

Patient No.	Age (yr)/sex	Indication for surgery	PF	Bleeding at POD	Initial presentation of bleeding	Transfusion of units of blood	Stent-graft
1	75/F	Carcinoma of pancreatic head	Yes	14	Abdominal drain	9, 9 FFP	Jostent
							4 mm × 19 mm × 2 pieces
2	23/F	Pancreatic trauma	Yes	9	Abdominal drain	12	Jostent
							4 mm × 19 mm × 2 pieces
3	42/M	Distal common bile cholangiocarcinoma	Yes	15	Abdominal drain	11, 6 FFP	Jostent
							4 mm × 19 mm × 3 pieces
4	56/M	Carcinoma of pancreatic head	Yes	7	Abdominal drain and hematemesis	11, 7 FFP	Jostent
							3.5 mm × 19 mm × 1 piece
							4 mm × 19 mm × 1 piece
5	62/M	Carcinoma of pancreatic head	No	35	Hematemesis and melena	9	Jostent
							4 mm × 19 mm × 1 piece
							4 mm × 16 mm × 1 piece
6	67/M	Pancreatic carcinoma	Yes	6	Surgical drainage, nasogastric tube	11	Jostent
							6 mm × 55 mm × 1 piece
7	53/M	Periampullary cancer	No	38	Hematemesis and melena	9	Jostent
							4 mm × 19 mm × 3 pieces
8	68/M	Pancreatic carcinoma	Yes	8	Abdominal drain	11, 9 FFP	Jostent
							3.5 mm × 19 mm × 1 piece
							4 mm × 16 mm × 1 piece
9	50/F	Carcinoma of pancreatic head	Yes	6	Surgical drainage, nasogastric tube	12, 7 FFP	Jostent
							4 mm × 19 mm × 2 pieces

PD: Pancreaticoduodenectomy; POD: Postoperative day; FFP: Fresh frozen plasma; PF: Pancreatic fistula.

Table 2 Outcome of the patients enrolled in this study after placement of stent grafts

Patient No.	Immediate technical success	Intensive care unit/length of stay	Clinical outcome	Length of hospital stay (d)	Follow-up
1	Yes	Yes/19 d	Bleeding stopped, no further hemorrhage	48	4 mo exitus, AMI
2	Yes	Yes/7 d	Bleeding stopped, no further bleeding	28	16 mo, clinical and laboratory findings normal
3	Yes	Yes/10 d	Bleeding stopped, no further bleeding	38	10 mo exitus, underlying malignancy
4	Yes	Yes/15 d	Recurrent bleeding 16 h later, underwent surgical revision	32	2 d exitus, uncontrolled bleeding
5	Yes	No	Cessation of bleeding, no further hemorrhage	11	14 mo exitus, underlying malignancy
6	Yes	Yes/8 d	Bleeding stopped, no further hemorrhage	36	8 mo exitus, underlying malignancy
7	Yes	No	Bleeding stopped, no further hemorrhage	12	11 mo, clinical and laboratory findings normal
8	Yes	Yes/21 d	Recurrent bleeding 24 h later, underwent surgical revision	40	3 d exitus, multiorgan failure
9	Yes	Yes/24 d	Bleeding stopped, no further hemorrhage	43	12 d exitus, abdominal sepsis

AMI: Acute myocardial infarction.