Context Arterial pseudoaneurysm is an uncommon lethal complication following hepato-pancreato-biliary surgery. Objective Aim of this study is to present and discuss the experience of a high volume oncological center. Methods Since 2007 all major surgeries performed at Sanchinarro Oncological Center have been included in a prospective database looking for postoperative arterial pseudoaneurysm. Results Until June 2014, among 559 hepato-pancreato-biliary procedures, a total of 14 arterial pseudoaneurysms have been identified (2.5%). Sentinel bleeding was in 57% of cases. Failed arterial embolization occurred in 2 cases. Overall mortality rate was 28.5%. We also identified 3 asymptomatic pseudoaneurysms, one of them managed without embolization, developing a sudden bleeding and died after surgery. Conclusions According to our experience, pseudoaneurysm incidence is higher than reported in current literature and it can be successfully managed through arterial embolization. Furthermore, we found 3 asymptomatic pseudoaneurysms, whose management is still controversial.

Arterial pseudoaneurysms following hepato-pancreato-biliary surgery: a single center experience / Ielpo, B; CARUSO, RICCARDO; Prestera, A; De Luca, GM; Duran, H; Diaz, E; Fabra, I; Olivares, S; Quijano, Y; Vicente, E. .. - In: JOP. JOURNAL OF THE PANCREAS. - ISSN 1590-8577. - 16:1(2015), pp. 85-89.

Arterial pseudoaneurysms following hepato-pancreato-biliary surgery: a single center experience

CARUSO, RICCARDO;
2015

Abstract

Context Arterial pseudoaneurysm is an uncommon lethal complication following hepato-pancreato-biliary surgery. Objective Aim of this study is to present and discuss the experience of a high volume oncological center. Methods Since 2007 all major surgeries performed at Sanchinarro Oncological Center have been included in a prospective database looking for postoperative arterial pseudoaneurysm. Results Until June 2014, among 559 hepato-pancreato-biliary procedures, a total of 14 arterial pseudoaneurysms have been identified (2.5%). Sentinel bleeding was in 57% of cases. Failed arterial embolization occurred in 2 cases. Overall mortality rate was 28.5%. We also identified 3 asymptomatic pseudoaneurysms, one of them managed without embolization, developing a sudden bleeding and died after surgery. Conclusions According to our experience, pseudoaneurysm incidence is higher than reported in current literature and it can be successfully managed through arterial embolization. Furthermore, we found 3 asymptomatic pseudoaneurysms, whose management is still controversial.
2015
hepatectomy; pancreatectomy; uterine artery embolization
01 Pubblicazione su rivista::01a Articolo in rivista
Arterial pseudoaneurysms following hepato-pancreato-biliary surgery: a single center experience / Ielpo, B; CARUSO, RICCARDO; Prestera, A; De Luca, GM; Duran, H; Diaz, E; Fabra, I; Olivares, S; Quijano, Y; Vicente, E. .. - In: JOP. JOURNAL OF THE PANCREAS. - ISSN 1590-8577. - 16:1(2015), pp. 85-89.
File allegati a questo prodotto
File Dimensione Formato  
Ielpo_Pseudoaneurysms_2015.pdf

solo gestori archivio

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 277.67 kB
Formato Adobe PDF
277.67 kB Adobe PDF   Contatta l'autore

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/764398
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 4
social impact