Angiographic Intervention for Post-pancreaticoduodenectomy Bleeding

Abstract

Angiographic interventions by transarterial embolization with coils and intravascular placement of a covered stent were performed in two cases presenting massive bleeding after pancreaticoduodenectomy. The intravascular approach is minimally-invasive and effective, and moreover, avoids the surgical risk which is often high in late post-pancreaticoduodenectomy bleeding. Intravascular placement of a covered stent does, not usually compromise the arterial blood flow to the liver, and should be a relatively safe alternative in the treatment of post-pancreaticoduodenectomy bleeding.