Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort

Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Muglia, Riccardo [verfasserIn] Lanza, Ezio [verfasserIn] Poretti, Dario [verfasserIn] D’Antuono, Felice [verfasserIn] Gennaro, Nicolò [verfasserIn] Gavazzi, Francesca [verfasserIn] Zerbi, Alessandro [verfasserIn] Chiti, Arturo [verfasserIn] Pedicini, Vittorio [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Schlagwörter:	Emergency transarterial embolization Delayed hemorrhage Pancreaticobiliary surgery Stent-graft Bleeding

Übergeordnetes Werk:	Enthalten in: Abdominal radiology - [Boston, MA] : Springer US, 2016, 45(2020), 8 vom: 14. März, Seite 2593-2602
Übergeordnetes Werk:	volume:45 ; year:2020 ; number:8 ; day:14 ; month:03 ; pages:2593-2602

Links:	Volltext

DOI / URN:	10.1007/s00261-020-02480-z

Katalog-ID:	SPR040271609

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245	1	0	\|a Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
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520			\|a Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy.
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700	1		\|a Chiti, Arturo \|e verfasserin \|4 aut
700	1		\|a Pedicini, Vittorio \|e verfasserin \|4 aut
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author_variant	r m rm e l el d p dp f d fd n g ng f g fg a z az a c ac v p vp
matchkey_str	article:23660058:2020----::mrecedvsuatetetfreaehmrhgatracetcblayugridctosucm
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publishDate	2020
allfields	10.1007/s00261-020-02480-z doi (DE-627)SPR040271609 (SPR)s00261-020-02480-z-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Muglia, Riccardo verfasserin aut Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213 Lanza, Ezio verfasserin aut Poretti, Dario verfasserin aut D’Antuono, Felice verfasserin aut Gennaro, Nicolò verfasserin aut Gavazzi, Francesca verfasserin aut Zerbi, Alessandro verfasserin aut Chiti, Arturo verfasserin aut Pedicini, Vittorio verfasserin aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 45(2020), 8 vom: 14. März, Seite 2593-2602 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602 https://dx.doi.org/10.1007/s00261-020-02480-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2020 8 14 03 2593-2602
spelling	10.1007/s00261-020-02480-z doi (DE-627)SPR040271609 (SPR)s00261-020-02480-z-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Muglia, Riccardo verfasserin aut Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213 Lanza, Ezio verfasserin aut Poretti, Dario verfasserin aut D’Antuono, Felice verfasserin aut Gennaro, Nicolò verfasserin aut Gavazzi, Francesca verfasserin aut Zerbi, Alessandro verfasserin aut Chiti, Arturo verfasserin aut Pedicini, Vittorio verfasserin aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 45(2020), 8 vom: 14. März, Seite 2593-2602 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602 https://dx.doi.org/10.1007/s00261-020-02480-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2020 8 14 03 2593-2602
allfields_unstemmed	10.1007/s00261-020-02480-z doi (DE-627)SPR040271609 (SPR)s00261-020-02480-z-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Muglia, Riccardo verfasserin aut Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213 Lanza, Ezio verfasserin aut Poretti, Dario verfasserin aut D’Antuono, Felice verfasserin aut Gennaro, Nicolò verfasserin aut Gavazzi, Francesca verfasserin aut Zerbi, Alessandro verfasserin aut Chiti, Arturo verfasserin aut Pedicini, Vittorio verfasserin aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 45(2020), 8 vom: 14. März, Seite 2593-2602 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602 https://dx.doi.org/10.1007/s00261-020-02480-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2020 8 14 03 2593-2602
allfieldsGer	10.1007/s00261-020-02480-z doi (DE-627)SPR040271609 (SPR)s00261-020-02480-z-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Muglia, Riccardo verfasserin aut Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213 Lanza, Ezio verfasserin aut Poretti, Dario verfasserin aut D’Antuono, Felice verfasserin aut Gennaro, Nicolò verfasserin aut Gavazzi, Francesca verfasserin aut Zerbi, Alessandro verfasserin aut Chiti, Arturo verfasserin aut Pedicini, Vittorio verfasserin aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 45(2020), 8 vom: 14. März, Seite 2593-2602 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602 https://dx.doi.org/10.1007/s00261-020-02480-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2020 8 14 03 2593-2602
allfieldsSound	10.1007/s00261-020-02480-z doi (DE-627)SPR040271609 (SPR)s00261-020-02480-z-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE Muglia, Riccardo verfasserin aut Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy. Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213 Lanza, Ezio verfasserin aut Poretti, Dario verfasserin aut D’Antuono, Felice verfasserin aut Gennaro, Nicolò verfasserin aut Gavazzi, Francesca verfasserin aut Zerbi, Alessandro verfasserin aut Chiti, Arturo verfasserin aut Pedicini, Vittorio verfasserin aut Enthalten in Abdominal radiology [Boston, MA] : Springer US, 2016 45(2020), 8 vom: 14. März, Seite 2593-2602 (DE-627)847023133 (DE-600)2845742-0 2366-0058 nnns volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602 https://dx.doi.org/10.1007/s00261-020-02480-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 45 2020 8 14 03 2593-2602
language	English
source	Enthalten in Abdominal radiology 45(2020), 8 vom: 14. März, Seite 2593-2602 volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602
sourceStr	Enthalten in Abdominal radiology 45(2020), 8 vom: 14. März, Seite 2593-2602 volume:45 year:2020 number:8 day:14 month:03 pages:2593-2602
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Emergency transarterial embolization Delayed hemorrhage Pancreaticobiliary surgery Stent-graft Bleeding
dewey-raw	610
isfreeaccess_bool	false
container_title	Abdominal radiology
authorswithroles_txt_mv	Muglia, Riccardo @@aut@@ Lanza, Ezio @@aut@@ Poretti, Dario @@aut@@ D’Antuono, Felice @@aut@@ Gennaro, Nicolò @@aut@@ Gavazzi, Francesca @@aut@@ Zerbi, Alessandro @@aut@@ Chiti, Arturo @@aut@@ Pedicini, Vittorio @@aut@@
publishDateDaySort_date	2020-03-14T00:00:00Z
hierarchy_top_id	847023133
dewey-sort	3610
id	SPR040271609
language_de	englisch
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Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. 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author	Muglia, Riccardo
spellingShingle	Muglia, Riccardo ddc 610 misc Emergency transarterial embolization misc Delayed hemorrhage misc Pancreaticobiliary surgery misc Stent-graft misc Bleeding Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
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topic_title	610 ASE Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort Emergency transarterial embolization (dpeaa)DE-He213 Delayed hemorrhage (dpeaa)DE-He213 Pancreaticobiliary surgery (dpeaa)DE-He213 Stent-graft (dpeaa)DE-He213 Bleeding (dpeaa)DE-He213
topic	ddc 610 misc Emergency transarterial embolization misc Delayed hemorrhage misc Pancreaticobiliary surgery misc Stent-graft misc Bleeding
topic_unstemmed	ddc 610 misc Emergency transarterial embolization misc Delayed hemorrhage misc Pancreaticobiliary surgery misc Stent-graft misc Bleeding
topic_browse	ddc 610 misc Emergency transarterial embolization misc Delayed hemorrhage misc Pancreaticobiliary surgery misc Stent-graft misc Bleeding
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title	Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
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title_full	Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
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author_browse	Muglia, Riccardo Lanza, Ezio Poretti, Dario D’Antuono, Felice Gennaro, Nicolò Gavazzi, Francesca Zerbi, Alessandro Chiti, Arturo Pedicini, Vittorio
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title_sort	emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
title_auth	Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
abstract	Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy.
abstractGer	Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy.
abstract_unstemmed	Purpose To evaluate the outcomes of emergency endovascular treatments for delayed bleeding after pancreaticobiliary surgery. Methods We retrospectively evaluated 21 patients (M:F = 13:8, median age = 64 years) undergoing 23 endovascular treatments, performed from 2010 to 2017 in a single center. Data collected were patient characteristics; surgery; pathology; incidence of postoperative pancreatic fistulas (POPF); bleeding signs on CT and angiography; damaged artery; endovascular tools used; technical and clinical success; intervals between surgery, endovascular treatment, and discharge; survival rates. Results Sixteen patients had pancreatoduodenectomy, three hepaticojejunostomy, two distal pancreatectomy. Indications for surgery were mainly biliary (33%), pancreatic (19%), or duodenal (10%) malignancies. Seventeen patients had “grade C” POPF, three suffered a biliary leak, one had no POPF. Active bleeding was present in 17/23 CTs and in 22/23 angiographies, mostly from hepatic (43%), gastroduodenal (22%), and splenic (13%) arteries. The endovascular treatments were performed with coils (26%), glue (22%), stent-graft (22%), and their combinations (30%). Sixteen patients had a single endovascular treatment, one underwent a second embolization, three had subsequent surgery, one had repeat embolization followed by surgery. Relaparotomy rate was 19%. Median hospital stay was 37 days (range 12–75); median intervals among pancreaticobiliary surgery, endovascular treatment, and discharge were 21 (2–36) and 12 (8–47) days, respectively. We observed 4/21 intrahospital deaths (median: 31 days from endovascular treatment, 4–53); 1-year survival rate of discharged patients was 71%. Conclusions Endovascular treatment using embolization and/or stent-graft placement is a useful first-line intervention to halt postoperative hemorrhage after pancreaticobiliary surgery and decreases the need for urgent relaparotomy.
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container_issue	8
title_short	Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort
url	https://dx.doi.org/10.1007/s00261-020-02480-z
remote_bool	true
author2	Lanza, Ezio Poretti, Dario D’Antuono, Felice Gennaro, Nicolò Gavazzi, Francesca Zerbi, Alessandro Chiti, Arturo Pedicini, Vittorio
author2Str	Lanza, Ezio Poretti, Dario D’Antuono, Felice Gennaro, Nicolò Gavazzi, Francesca Zerbi, Alessandro Chiti, Arturo Pedicini, Vittorio
ppnlink	847023133
mediatype_str_mv	c
isOA_txt	false
hochschulschrift_bool	false
doi_str	10.1007/s00261-020-02480-z
up_date	2024-07-03T14:54:18.229Z
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Emergency endovascular treatments for delayed hemorrhage after pancreaticobiliary surgery: indications, outcomes, and follow-up of a retrospective cohort

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