지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.5
- 발행연도
- 2019.5
- 수록면
- 237 - 249 (13page)
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초록· 키워드
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Purpose: Recent studies have analyzed the short-term clinical outcomes of ndovascular management. However, the long-term outcomes are unknown. This study aimed to investigate clinical outcomes after endovascular management for ruptured pseudoaneurysm in patients after pancreaticoduodenectomy (PD).
Methods: The medical records of 2,783 patients who underwent PD were retrospectively reviewed at a single center. Of 62 patients who received intervention after pseudonaeurysm rupture, 57 patients (91.9%) experienced eventual success of hemostasis. The patients were composed as follows: (embolization only [EMB], n = 30), (stent-graft placement only [STENT], n = 19) and (both embolization and stent-graft placement simultaneously or different times [EMB + STENT], n = 8). Longterm complications were defined as events that occur more than 30 days after the last successful endovascular treatment.
Results: Among 57 patients, short-term stent-graft related complications developed in 3 patients (5.3%) and clinical complication developed in 18 patients (31.5%). Nine (15.8%) had long-term stent-graft related complications, which involved partial thrombosis in 5 cases, occlusion in 3 cases and migration in 1 case. Except for 1 death, the remaining 8 cases did not experience clinical complications. The stent graft primary patency rate was 88.9% after 1 month, 84.2% after 1 year, and 63.2% after 2 years. Of 57 patients, 30 days mortality occurred in 8 patients (14.0%).
Conclusion: After recovery from initial complication, most of patients did not experience fatal clinical complication during long-term follow-up. Endovascular management is an effective and safe management of pseudoaneurysm rupture after PD in terms of long-term safety.
Methods: The medical records of 2,783 patients who underwent PD were retrospectively reviewed at a single center. Of 62 patients who received intervention after pseudonaeurysm rupture, 57 patients (91.9%) experienced eventual success of hemostasis. The patients were composed as follows: (embolization only [EMB], n = 30), (stent-graft placement only [STENT], n = 19) and (both embolization and stent-graft placement simultaneously or different times [EMB + STENT], n = 8). Longterm complications were defined as events that occur more than 30 days after the last successful endovascular treatment.
Results: Among 57 patients, short-term stent-graft related complications developed in 3 patients (5.3%) and clinical complication developed in 18 patients (31.5%). Nine (15.8%) had long-term stent-graft related complications, which involved partial thrombosis in 5 cases, occlusion in 3 cases and migration in 1 case. Except for 1 death, the remaining 8 cases did not experience clinical complications. The stent graft primary patency rate was 88.9% after 1 month, 84.2% after 1 year, and 63.2% after 2 years. Of 57 patients, 30 days mortality occurred in 8 patients (14.0%).
Conclusion: After recovery from initial complication, most of patients did not experience fatal clinical complication during long-term follow-up. Endovascular management is an effective and safe management of pseudoaneurysm rupture after PD in terms of long-term safety.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (24)
참고문헌 신청
Gouma DJ / 2000 / Rates of complications and death after pancreaticoduodenectomy : risk factors and the impact of hospital volume / Ann Surg 232:786~795
Choi SH / 2004 / Delayed hemorrhage after pancreaticoduodenectomy / J Am Coll Surg 199:186~191
de Castro SM / 2005 / Delayed massive hemorrhage after pancreatic and biliary surgery : embolization or surgery / Ann Surg 241:85~91
Lee HG / 2010 / Management of bleeding from pseudoaneurysms following pancreaticoduodenectomy / World J Gastroenterol 16:1239~1244
Tien YW / 2005 / Risk factors of massive bleeding related to pancreatic leak after pancreaticoduodenectomy / J Am Coll Surg 201:554~559
Choi SH / 2004 / Delayed hemorrhage after pancreaticoduodenectomy / J Am Coll Surg 199:186~191
de Castro SM / 2005 / Delayed massive hemorrhage after pancreatic and biliary surgery : embolization or surgery / Ann Surg 241:85~91
Lee HG / 2010 / Management of bleeding from pseudoaneurysms following pancreaticoduodenectomy / World J Gastroenterol 16:1239~1244
Tien YW / 2005 / Risk factors of massive bleeding related to pancreatic leak after pancreaticoduodenectomy / J Am Coll Surg 201:554~559
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UCI(KEPA) : I410-ECN-0101-2019-514-000759595