Retrograde open celiac stenting for ischemic hepatitis after pancreaticoduodenectomy.

Autor:	Aru RG; Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, MD.; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD., Deery SE; Division of Vascular and Endovascular Surgery, Maine Medical Center, Portland, ME., Kavousi Y; Division of Vascular Surgery, Henry Ford Hospital, Detroit, MI., Black JH 3rd; Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, MD.; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD., Burns WR; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.; Division of Surgical Oncology, Johns Hopkins University School of Medicine, Baltimore, MD., Hicks CW; Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, MD.; Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	Journal of vascular surgery cases and innovative techniques [J Vasc Surg Cases Innov Tech] 2023 Mar 04; Vol. 9 (2), pp. 101136. Date of Electronic Publication: 2023 Mar 04 (Print Publication: 2023).
DOI:	10.1016/j.jvscit.2023.101136
Abstrakt:	A 74-year-old man with pancreatic cancer had undergone pancreaticoduodenectomy and subsequently developed ischemic hepatitis secondary to high-grade celiac artery stenosis. Celiac antegrade stenting via brachial artery access was unsuccessful, and open antegrade bypass would have required takedown of the pancreatic and/or biliary anastomoses for adequate exposure. Retrograde open celiac stenting was, therefore, successfully performed via the gastroduodenal artery stump. His ischemic hepatitis resolved, and he was ultimately discharged with dual antiplatelet therapy. Computed tomography angiography at 6 months demonstrated a widely patent celiac stent. Retrograde open celiac stenting via the gastroduodenal artery stump is an alternative to open bypass for celiac revascularization not amenable to percutaneous antegrade stenting in patients who have undergone pancreaticoduodenectomy. (© 2023 The Author(s).)
Databáze:	MEDLINE
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