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Stent-Graft Placement for Hepatic Arterial Hemorrhage after Pancreaticobiliary Surgery: Long-Term Clinical Outcomes

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dc.contributor.authorKim, Y-
dc.contributor.authorKim, JH-
dc.contributor.authorKim, JH-
dc.contributor.authorKim, GH-
dc.contributor.authorKo, HK-
dc.contributor.authorChu, HH-
dc.contributor.authorShin, JH-
dc.contributor.authorGwon, DI-
dc.contributor.authorKo, GY-
dc.date.accessioned2024-07-10T03:11:19Z-
dc.date.available2024-07-10T03:11:19Z-
dc.date.issued2024-
dc.identifier.issn1051-0443-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/32641-
dc.description.abstractPurpose: To evaluate the safety and long-term clinical outcomes of stent-graft placement to treat hepatic arterial hemorrhage after pancreaticobiliary surgery. Materials and Methods: Outcomes were retrospectively evaluated in 61 patients (50 men and 11 women; mean age, 63 years) who underwent stent-graft placement for delayed arterial hemorrhage (after 24 hours) after pancreaticobiliary surgery from 2006 to 2023. Bleeding sites included the gastroduodenal artery stump (n = 54), common or proper hepatic artery (n = 5), and right hepatic artery (n = 2). The stent-grafts used were Viabahn (n = 27), Comvi (n = 11), Jostent (n = 3), Covera (n = 11), and Lifestream (n = 7). Technical and clinical success and adverse events (AE) were evaluated. After stent-graft placement, overall survival (OS), hemorrhage-free survival (HFS), and stent patency were evaluated. Results: The technical and clinical success rates of stent-graft placement were 97% and 93%, respectively. The severe AE rate was 12% and was significantly higher in patients who underwent pylorus-sacrificing rather than pylorus-preserving surgery (P =.001). None of the severe AEs were associated with patient mortality. Median OS after stent-graft placement was 854 days, and median HFS was 822 days. The 1-, 3-, 5-, and 10-year stent patency rates were 87%, 84%, 79%, and 72%, respectively. Conclusions: Stent-graft placement was safe and provided long-term control of hepatic arterial hemorrhage after pancreaticobiliary surgery.-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHBiliary Tract Surgical Procedures-
dc.subject.MESHBlood Vessel Prosthesis Implantation-
dc.subject.MESHBlood Vessel Prosthesis-
dc.subject.MESHEndovascular Procedures-
dc.subject.MESHFemale-
dc.subject.MESHHepatic Artery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Hemorrhage-
dc.subject.MESHProsthesis Design-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHStents-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Patency-
dc.titleStent-Graft Placement for Hepatic Arterial Hemorrhage after Pancreaticobiliary Surgery: Long-Term Clinical Outcomes-
dc.typeArticle-
dc.identifier.pmid38519001-
dc.contributor.affiliatedAuthorKim, Y-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.jvir.2024.03.020-
dc.citation.titleJournal of vascular and interventional radiology : JVIR-
dc.citation.volume35-
dc.citation.number7-
dc.citation.date2024-
dc.citation.startPage963-
dc.citation.endPage970-
dc.identifier.bibliographicCitationJournal of vascular and interventional radiology : JVIR, 35(7). : 963-970, 2024-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1535-7732-
dc.relation.journalidJ010510443-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
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