Successful Bridge Therapy with Initial Endovascular Repair for Arterioenteric Fistula Resulting from Pseudoaneurysm Rupture with Massive Gastrointestinal Hemorrhage after Pancreas Transplantation

被引：2

作者：

Kurose, Shun ^{[1
]}

Inoue, Kentaro ^{[1
]}

Yoshino, Shinichiro ^{[1
]}

Nakayama, Ken ^{[1
]}

Yamashita, Sho ^{[1
]}

Yoshiya, Keiji ^{[1
]}

Yoshiga, Ryosuke ^{[1
]}

Morisaki, Koichi ^{[1
]}

Kaku, Keizo ^{[2
]}

Okabe, Yasuhiro ^{[2
]}

Furuyama, Tadashi ^{[1
]}

Maehara, Yoshihiko ^{[1
]}

机构：

[1] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Sci, Fukuoka, Fukuoka, Japan

[2] Kyushu Univ, Grad Sch Med Sci, Dept Surg & Oncol, Fukuoka, Fukuoka, Japan

来源：

ANNALS OF VASCULAR SURGERY | 2019年 / 58卷

关键词：

SECONDARY AORTOENTERIC FISTULA; ENTERIC FISTULA; MANAGEMENT;

D O I：

10.1016/j.avsg.2018.10.028

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Pseudoaneurysm after pancreas transplantation has a reported incidence of 1.4 to 8.0% and may be caused by perioperative infection. Subsequent pseudoaneurysm rupture is a rare cause of arterioenteric fistula. Only 28 cases of arterioenteric fistula after pancreas transplantation have been reported in the past 20 years. We experienced a rare case of arterioenteric fistula resulting from pseudoaneurysm rupture after pancreas transplantation. We successfully treated the arterioenteric fistula with multistaged bridge therapy composed of initial endovascular aneurysm repair, secondary isolation of the fistula, and definitive open repair with extraanatomic bypass. No complications occurred in 1 year of follow-up; this staged therapy seems feasible for patients with arterioenteric fistula.

引用

页码：379.e15 / 379.e22

页数：8