Transcatheter Management of Hepatic Artery Pseudoaneurysm Following Pancreaticoduodenectomy: a Report of three Cases

Abstract

Pseudoaneurysm formation is a rare, but potentially life threatening delayed complication of major pancreatic surgery. Redo surgery several weeks after pancreaticoduodenectomy can be hazardous, especially in debilitated patients. Percutaneous, transcatheter exclusion of the pseudoaneurysm by means of embolic coils can be an efficient, safe and minimally invasive alternative to open surgery with good mid-and long-term results. We present our experience in Three patients undergoing transcatheter embolization of hepatic artery pseudoaneurysms detected several weeks after Whipple’s operation.

Key Words:

• Pancreaticoduodenectomy
• surgery
• complications
• embolization
• aneurysm (pseudoaneurysm)
• haemorrhage
• gastrointestinal

Additional information

Notes on contributors

G. Maleux

G. Maleux Department of Radiology, University Hospitals Herestraat 49 B-3000 Leuven, Belgium Tel.: ++ 32 16 34 37 82 Fax: ++ 32 16 34 37 65 E-mail: [email protected]