[第一作者]魏建(１９７９—),男,河北安国人,博士,副主任医师.研究方向:肿瘤及外周血管疾病介入治疗.EＧmail:helloweijian＠１６３．com[通信作者]金龙,首都医科大学附属北京友谊医院放射介入科,１０００５０.EＧmail:longerg＠hotmail．com[收稿日期]２０２３Ｇ０３Ｇ２１[修回日期]２０２３Ｇ０５Ｇ２７TranscatheterarterialembolizationfortreatmentoflatestagehemorrhageafterpancreaticoduodenectomyWEIJian,YUJian＇an,HUYuefeng,SUTianhao,SUNXuedong,YINChao,LIJian,ZHUWei,CHENGuang,JINLong∗(DepartmentofInterventionalRadiology,BeijingFriendshipHospital,CapitalMedicalUniversity,Beijing１０００５０,China)[Abstract]ObjectiveToobservetheeffectoftranscatheterarterialembolization(TAE)fortreatmentoflatestagehemorrhage(＞７daysaftersurgery)afterpancreaticoduodenectomy(PD)．MethodsTwelvepatientswithgradeCpancreaticfistulawhounderwentTAEforlatestagehemorrhageafterPDwereretrospectivelyenrolled．Theangiographicmanifestationsofbleedingwereobserved,theembolizationmethods,thetherapeuticeffect,complicationsandchangesofpancreaticfistula２weeksafterTAEwererecorded．ResultsAmong１２cases,pseudoaneurysmsweredetectedin６cases,including３casesinproperhepaticarteryorcommonhepaticarteryand３casesingastroduodenalartery．Gastrointestinalhemorrhagesfromtheinferiorpancreaticoduodenalarterywereobservedin３cases,whilefromthegastroduodenalarterywhichcomplicatedwithpseudoaneurysmwerenoticedinother３cases．Singlecoilembolizationorcoilcombinedwithgelatinspongeparticleembolizationoftheoffendingvesselsofhemorrhagewereperformedeachin６cases．TAEwaseffectiveinall１２cases,nofurtherbleedingoccurredafterTAE．Fever(maximumbodytemperature３９１℃)occurredin４casesandabdominalpainin２casesafterTAE,whileliverfunctiondamagemainlymanifestedaselevationoftransaminasewasobservedin５cases,butallrelievedaftersymptomatictreatments．TwoweeksafterTAE,thegradeofpancreaticfistuladecreasedtoBin５casesandtoA(biochemicalfistula)in３cases,whiletheremaining４caseswerestillfoundwithgradeCpancreaticfistula．ConclusionTAEwithsimplecoilorcoilcombinedwit...
