PURPOSE: To evaluate the safety and efficacy of two transcatheter @entity1416 (TAE) techniques used to treat @entity2849 after pancreaticoduodenectomy. MATERIALS AND METHODS: Between March 2003 and March 2008, 16 @entity1 were treated with TAE for @entity2849 after pancreaticoduodenectomy. Two embolization techniques were employed: endovascular trapping of the hepatic artery ( @entity432 ; group A; n = 13) and selective embolization of the GDA stump and/or @entity2849 sparing hepatic arterial flow (group B; n = 3). Technical success, initial hemostasis, recurrence of @entity548 , and complications were compared between the two groups retrospectively. RESULTS: All TAE procedures were technically successful and immediate hemostasis was achieved in all @entity1 . There was no recurrent @entity548 in group A; however, all three @entity1 in group B experienced recurrent @entity548 after initial hemostasis (P = .002), and these @entity1 required subsequent embolization with the endovascular trapping technique. Two @entity1 died of @entity881 (one @entity1 in each group) despite successful hemostasis. Three @entity1 experienced subsegmental (n = 1, group A) and multisegmental (n = 2, group B) @entity1188 , which were successfully managed with conservative treatment. There was a higher incidence of major complications in group B (15.4% vs 100%; P = .018). CONCLUSIONS: Endovascular trapping of the hepatic artery is a safe and effective treatment of @entity2849 after pancreaticoduodenectomy. @entity409 are not rare, but can be conservatively managed. Selective embolization of the GDA stump and/or @entity2849 is frequently associated with recurrence of @entity548 , which eventually leads to major complications.

XXXX after pancreaticoduodenectomy: safety and efficacy of two embolization techniques.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity409 :: ('MESH:D008107', 'Disease') :: ['Hepatic ischemic complications'] @entity1416 :: ('MESH:D020762', 'Disease') :: ['arterial embolization'] @entity1188 :: ('MESH:D007238', 'Disease') :: ['liver infarction'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multiple organ failure'] @entity432 :: ('MESH:D001157', 'Disease') :: ['embolization of the hepatic artery proximal and distal to GDA stump'] @entity2849 :: ('MESH:D017541', 'Disease') :: ['pseudoaneurysm', 'pseudoaneurysms of the GDA stump', 'pseudoaneurysms of the gastroduodenal artery (GDA) stump']
@entity1416 :: (MESH:D020762,Disease) :: ['Transcatheter arterial embolization of gastroduodenal artery stump pseudoaneurysms']
