Persistent Bleeding after Coil Embolization of a Pancreatic Transplant Pseudoaneurysm: Should Covered Stents Be the Primary Management?

Author:

Anand Keshav1,Cizman Ziga1,Smith Tyler1,Strain David1,Patel Suraj1,Campsen Jeffrey2,Baker Talia2,Saad Wael1

Affiliation:

1. Department of Radiology, University of Utah School of Medicine, Salt Lake City, Utah

2. Division of Transplant and Hepatobiliary Surgery, University of Utah School of Medicine, Salt Lake City, Utah

Abstract

AbstractLife-threatening arterial complications after pancreatic transplantation can be dire. Pseudoaneurysms can be challenging to treat. There are multiple strategies to treat such complications. We present a case of pancreatic pseudoaneurysm which was initially treated by coiling followed by subsequent covered stent placement for a more durable outcome. We advocate for a “stent first” approach to these lesions if feasible.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology, Nuclear Medicine and imaging

Reference9 articles.

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2. Pancreas transplant outcomes for United States and non United States cases as reported to the United Network for Organ Sharing and the International Pancreas Transplant Registry as of December 2011;A C Gruessner;Clin Transpl,2012

3. Endovascular management of vascular complications in pancreatic transplants;W EA Saad;Vasc Endovascular Surg,2012

4. Endovascular interventions in vascular complications after simultaneous pancreas and kidney transplantations: a single-center experience;A Surowiecka-Pastewka;Ann Transplant,2019

5. Transarterial and transvenous embolotherapy of arteriovenous fistulas in the transplanted pancreas;M M Barth;J Vasc Interv Radiol,2008

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