Department of Radiology, Yokohama City University Hospital, Yokohama, Japan.
Department of Interventional Radiology, Saiseikai Yokohama City Nanbu Hospital, Yokohama, Japan.
Minim Invasive Ther Allied Technol. 2022 Oct;31(7):1066-1069. doi: 10.1080/13645706.2022.2056706. Epub 2022 Apr 2.
Percutaneous transhepatic stent-graft placement usually requires more than a 12 F sheath, which has a higher potential risk of peritoneal hemorrhage. A case of postoperative portal vein hemorrhage after pancreaticoduodenectomy treated using a Viabahn VBX balloon expanding stent-graft is described in this report. The stent-graft was delivered using an 8 F sheath through a transhepatic approach and deployed from the superior mesenteric vein to the main portal vein. Hemostasis was achieved and graft patency was confirmed one year after the procedure.
经皮经肝支架置入术通常需要超过 12F 的鞘管，这会增加腹膜出血的潜在风险。本报告描述了一例胰十二指肠切除术后使用 Viabahn VBX 球囊扩张支架治疗门静脉出血的病例。支架通过经肝途径，使用 8F 鞘管输送，并从肠系膜上静脉扩张到主门静脉。术后 1 年，出血得到控制，移植物通畅。
