| Stent placement is effective on both postoperative hepatic arterial pseudoaneurysm and subsequent portal veinstricture： A case report |
| |
| 作者姓名： | Ichihara T Sato T Miyazawa H Shibata S Hashimoto M Ishiyama K Yamamoto Y |
| |
| 作者单位： | Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan,Departments of Gastroenterological Surgery and Radiology Akita University School of Medicine Hondo Akita 010-8543 Japan |
| |
| 摘 要： | To treat postoperative bleeding after hepato-pancreato-biliary surgery, interventional radiology has become essential. We report a case of coincidental pseudoan-eurysm and jejunal varices that were both successfully treated by stent-grafts. After a pancreaticoduodenec-tomy, the patient developed a pseudoaneurysm in the hepatic artery and a stenosis in its periphery. After establishing hepatic arterial flow by placing stent-grafts over both the pseudoaneurysm and the stenosis, the pseudoaneurysm was embolized with microcoils. Nine months later, the patient developed jejunal varices caused by a severe stricture in the main trunk of the portal vein. Percutaneous transhepatic portography was performed and stent-grafts were placed over the stenotic segment. A venoplasty using stent-grafts nor-malized the portal blood flow and the jejunal varices vanished. Although stenosis occurred due to scarred tissues from leakage after pancreaticoduodenectomy, stent-grafts were useful for managing jejunal bleeding post-operatively.
|
| 关 键 词： | 肝外门静脉狭窄 肝动脉假性动脉瘤 术后并发症 内支架置入 疗效 |
| 收稿时间： | 2006 Nov 17 |
Stent placement is effective on both postoperative hepatic arterial pseudoaneurysm and subsequent portal vein stricture: a case report |
| |
| Ichihara T,Sato T,Miyazawa H,Shibata S,Hashimoto M,Ishiyama K,Yamamoto Y.Stent placement is effective on both postoperative hepatic arterial pseudoaneurysm and subsequent portal vein stricture: a case report[J].World Journal of Gastroenterology,2007,13(6):970-972. |
| |
| Authors: | Ichihara Toshiaki Sato Tsutomu Miyazawa Hideaki Shibata Satoshi Hashimoto Manabu Ishiyama Koichi Yamamoto Yuzo |
| |
| Institution: | Departments of Gastroenterological Surgery and Radiology, Akita University School of Medicine, Hondo, Akita 010-8543, Japan |
| |
| Abstract: | To treat postoperative bleeding after hepato-pancreato-biliary surgery, interventional radiology has become essential. We report a case of coincidental pseudoan-eurysm and jejunal varices that were both successfully treated by stent-grafts. After a pancreaticoduodenec-tomy, the patient developed a pseudoaneurysm in the hepatic artery and a stenosis in its periphery. After establishing hepatic arterial flow by placing stent-grafts over both the pseudoaneurysm and the stenosis, the pseudoaneurysm was embolized with microcoils. Nine months later, the patient developed jejunal varices caused by a severe stricture in the main trunk of the portal vein. Percutaneous transhepatic portography was performed and stent-grafts were placed over the stenotic segment. A venoplasty using stent-grafts nor-malized the portal blood flow and the jejunal varices vanished. Although stenosis occurred due to scarred tissues from leakage after pancreaticoduodenectomy, stent-grafts were useful for managing jejunal bleeding post-operatively. |
| |
| Keywords: | Extra hepatic portal vein stenosis Jejunal varices Interventional radiology Stent-graft |
| 本文献已被 CNKI 维普 万方数据 PubMed 等数据库收录！ |
