CC BY 4.0 · The Arab Journal of Interventional Radiology 2023; 07(02): 100-106
DOI: 10.1055/s-0043-1772256
Original Article

Endovascular Management of Postoperative Hemorrhage after Pancreaticoduodenectomy

Mohd Shariq
1   Interventional Radiology, Queens Hospital, Romford, United Kingdom
2   Department of Radio-Diagnosis, Tata Memorial Hospital, Tata Memorial Centre, Mumbai, India
3   Department of Radiology, Homi Bhabha National University (HBNI), Mumbai, India
Aditi Gandhi
4   Interventional Radiology, Sushrut Hospital, Ahmedabad, Gujrat, India
Rozil Gandhi
4   Interventional Radiology, Sushrut Hospital, Ahmedabad, Gujrat, India
› Author Affiliations


Objective The aim of the study was to assess the safety and efficacy of endovascular management for postpancreaticoduodenectomy hemorrhage.

Materials and Methods A retrospective analysis of patients who underwent endovascular management for hemorrhage after pancreatic surgery between January 2015 to December 2020 was performed. Patient demographics, clinical presentation, angiography findings, endovascular procedure, technical success, clinical success, and complications were assessed.

Results Seventeen patients, comprising 14 (82.4%) males and 3 (17.6%) females, aged 37 to 68 years underwent endovascular management for postpancreatectomy hemorrhage. Patients presented with hemorrhage on their postoperative days 4 to 22 (mean: 9.8th day; median: 8th day); the presentation was with extraluminal hemorrhage in 11 patients (64.7%) and intraluminal hemorrhage in 6 patients (35.2%). The gastroduodenal artery (GDA) stump (10 patients, 58.8%) was the most commonly involved artery. The majority of cases were treated using coils as embolizing agents (13/17 patients, 76.5%). The technical and clinical success rates were 100%. The complication rate was 5.9% (1/17) and the mortality rate was 11.8% (2/17). The relaparotomy rate was 23.5% (4/17); however, none of the relaparotomy was for hemorrhage.

Conclusion Endovascular treatment provides a minimally invasive, safe, and effective method for the management of pancreaticoduodenectomy hemorrhage.

Authors' Contribution

R.G. was responsible for conceptualization, data curation, and methodology. M.S. was responsible for formal analysis, writing of the original draft, and resources and literature review. A.G. was responsible for the software. Writing and review and editing were done by K.G. and R.G.

Publication History

Article published online:
13 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

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