Post-pancreaticoduodenectomy hemorrhage: DSA diagnosis and endovascular treatment.
Post-pancreaticoduodenectomy hemorrhage: DSA diagnosis and endovascular treatment.
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胰十二指肠切除术后出血：DSA诊断和血管内治疗
DOI：
10.18632/oncotarget.17450
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发表时间：
2017-09-26
期刊：
影响因子：
--
通讯作者：
Zheng SS
中科院分区：
文献类型：
--
作者：
Zhou TY;Sun JH;Zhang YL;Zhou GH;Nie CH;Zhu TY;Chen SQ;Wang BQ;Wang WL;Zheng SS
Objective To explore the diagnostic value of digital subtraction angiography (DSA) and the effectiveness of endovascular treatment for a post-pancreaticoduodenectomy hemorrhage (PPH). Results During the DSA examination, positive results were found in 29 patients, yielding a positive rate of 69.0%. The manifestations of the DSA examination included contrast medium extravasation, pseudoaneurysm, and artery walls coarse. All 29 patients with positive results underwent endovascular treatment, including transartery embolization (TAE) in 28 patients and covered stents placement in one patient. The technical success and clinical success rates were 100% and 72.4%, respectively. Re-bleeding occurred in 8 of the 29 patients after the first treatment (27.6%). The mortality of PPH was 17.2% (5 of 29). Two of the five PPH patients died following severe infections, and three died from multiple organ failure. Materials and Methods A DSA examination was conducted using clinical and imaging data of 42 patients, and endovascular treatment for delayed PPH was retrospectively analyzed. Conclusions DSA examination is a minimally invasive and rapid method for the diagnosis of delayed PPH. For patients with positive DSA results, endovascular treatment can be performed rapidly, safely, and effectively. Therefore, the DSA examination and endovascular treatment could be considered a preferred treatment approach for delayed PPH.
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DOI：
10.4103/1947-2714.134377
发表时间：
2014-06
期刊：
North American journal of medical sciences
影响因子：
--
作者：
Iswanto S;Nussbaum ML
通讯作者：
Nussbaum ML
影响因子：
2.3
作者：
Welsch, Thilo;Eisele, Hanna;Wente, Moritz N.
通讯作者：
Wente, Moritz N.
DOI：
10.1016/j.jvir.2015.09.024
发表时间：
2016-01-01
影响因子：
2.9
作者：
Ching, Kevin C.;Santos, Ernesto;Zeh, Herbert J.
通讯作者：
Zeh, Herbert J.
影响因子：
2.6
作者：
Manas-Gomez, M. J.;Rodriguez-Revuelto, R.;Charco-Torra, R.
通讯作者：
Charco-Torra, R.
影响因子：
5.5
作者：
Gaudon, C.;Soussan, J.;Vidal, V.
通讯作者：
Vidal, V.