Journal: Gland Surgery
Article Title: Endovascular therapy choices for different sites of delayed postoperative arterial hemorrhage after hepatobiliary pancreatic surgery: a retrospective study
doi: 10.21037/gs-21-521
Figure Lengend Snippet: A rebleeding pseudoaneurysm located in branch of right hepatic artery that the coil was rushed into a distal section of the vessel due to blood pressure recovery after first embolization. (A) DSA showed delayed postoperative arterial hemorrhage caused by pseudoaneurysm located in branch of right hepatic artery after biliary tract surgery (arrow); (B) superselective embolization with coil (arrow) was applied and repeated DSA demonstrated a complete exclusion of the bleeding site; (C) five days after the first embolization, rebleeding was detected and DSA showed that the coil was rushed into the distal section of the vessel due to blood pressure recovery after first embolization (arrow); (D) a repeated superselective embolization with coil (arrow) was applied and repeated DSA demonstrated a complete exclusion of the bleeding site. DSA, digital subtraction angiography.
Article Snippet: Embolization was performed with a superselective catheter (Renegade Hi-Flo FathomTM, Boston Scientific, USA) position by coil embolization (Tornado Embolization MicrocoilTM, Cook Medical, Bloomington, IN, USA or Interlocking Detachable Coils, Boston Scientific, Cork, Ireland), microspheres (500–700 or 700–900 μm; Embosphere, Merit Medical Systems, South Jordan, UT, USA), or a gelatin sponge particle embolic agent (Gel Foam, Alicon Pharm., Hangzhou, China).
Techniques: