Published online Apr 27, 2021. doi: 10.4254/wjh.v13.i4.483
Peer-review started: February 3, 2021
First decision: March 1, 2021
Revised: March 7, 2021
Accepted: March 19, 2021
Article in press: March 19, 2021
Published online: April 27, 2021
Arterial hemorrhage after pancreaticoduodenectomy (PD) is fatal.
This hemorrhage is caused by pseudoaneurysm rupture, and the gastroduodenal artery stump and hepatic artery are frequent culprit vessels.
Simultaneous accomplishment of complete hemostasis and hepatic artery flow preservation is difficult after PD. Although complete hemostasis may be obtained by transcatheter arterial embolization or surgery, liver infarction and/or abscesses may occur.
Arterial hemorrhage after PD is fatal. This hemorrhage is caused by pseudoaneurysm.
We here evaluate our experience including actual treatments (transcatheter arterial embolization, stent-graft placement, or surgery), and discuss therapeutic strategies.
Transcatheter placement of a covered stent is useful for simultaneous accomplishment of complete hemostasis and hepatic arterial flow preservation.
Therapeutic options for fatal arterial hemorrhage after PD is shown.