title: Hepatic artery pseudoaneurysm after surgical treatment for pancreatic cancer: minimally invasive angiographic techniques as the preferred treatment.
abstract: BACKGROUND
  Delayed intra-abdominal bleeding related to hepatic artery pseudoaneurysm is a potentially lethal complication after pancreaticoduodenectomy for pancreatic cancer. Locally advanced tumors, which result in vessel erosion or extensive operative skeletonization, may contribute to weakness of the arterial wall. Reoperation is often technically difficult with high rate of mortality; therefore, alternative less invasive options are ideal.
  
  
  OBJECTIVE
  The study was to present an alternative endovascular treatment of a large hepatic artery pseudoaneurysm after pancreatic resection for locally advanced multicystic adenocarcinoma.
  
  
  METHODS
  Transcatheteric mesenteric angiography with deployment of detachable coils in the pseudoaneurysm sac was utilized to manage the hepatic artery pseudoaneurysm.
  
  
  RESULTS
  Completion angiography confirmed cessation of contrast enhancement in the pseudoaneurysm sac with preservation of normal antegrade hepatic artery flow.
  
  
  CONCLUSIONS
  Minimally invasive angiographic technique is the preferred treatment for hepatic artery pseudoaneurysm after pancreatic resections.
authors.affiliation: Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA.
authors.forename: Sucandy
authors.initials: S
authors.lastname: Iswanto
authors.affiliation: Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Nussbaum
keywords: Angiography; Coil embolization; Hepatic artery pseudoaneurysm; Stenting