膵癌に関連する血管系IVR
膵切除術後出血に対する止血術
2018 年 33 巻 3 号 p. 243-251
詳細
2018 年 33 巻 3 号 p. 243-251
Postpancreatectomy hemorrhage (PPH) is a rare but often severe complication after pancreatic resection. In consequence the incidence and mortality rates in the literature reveal a large range 3-8% and 15-60%, respectively. Treatments for PPH include laparotomy and endovascular interventions. We describe endovascular management that includes embolization and stentgraft placement. Embolization is based on the “isolation technique”, in which both the proximal and distal parts including the bleeding point are filled with embolic materials to avoid retrograde blood flow. It is minimally invasive and associated with a high success rate. Stentgraft placement is a good option for complete hemostasis and the preservation of parental artery flow.
