Publication Name	World Journal of Hepatology
Manuscript ID	63816
Country	Japan

Received	2021-02-03 10:30
Peer-Review Started	2021-02-03 10:39
First Decision by Editorial Office Director	2021-03-01 03:02
Return for Revision	2021-03-01 03:02
Revised	2021-03-07 04:20
Publication Fee Transferred
Second Decision by Editor	2021-03-19 11:23
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2021-03-19 16:28
Articles in Press	2021-03-19 16:28
Edit the Manuscript by Language Editor
Typeset the Manuscript	2021-03-24 11:51
Publish the Manuscript Online	2021-04-16 10:13

ISSN	1948-5182 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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Category	Surgery
Manuscript Type	Retrospective Study
Article Title	Fatal arterial hemorrhage after pancreaticoduodenectomy: How do we simultaneously accomplish complete hemostasis and hepatic arterial flow?
Manuscript Source	Unsolicited Manuscript
All Author List	Yasuyuki Kamada, Tomohide Hori, Hidekazu Yamamoto, Hideki Harada, Michihiro Yamamoto, Masahiro Yamada, Takefumi Yazawa, Ben Sasaki, Masaki Tani, Asahi Sato, Hikotaro Katsura, Ryotaro Tani, Ryuhei Aoyama, Yudai Sasaki, Masaharu Okada and Masazumi Zaima
ORCID	Author(s) ORCID Number Yasuyuki Kamada http://orcid.org/0000-0002-1035-5636 Tomohide Hori http://orcid.org/0000-0002-8282-4403 Hidekazu Yamamoto http://orcid.org/0000-0003-0831-9174 Hideki Harada http://orcid.org/0000-0001-6317-265X Michihiro Yamamoto http://orcid.org/0000-0002-2165-0825 Masahiro Yamada http://orcid.org/0000-0002-0987-4738 Takefumi Yazawa http://orcid.org/0000-0002-7283-5336 Ben Sasaki http://orcid.org/0000-0023-1035-5636 Masaki Tani http://orcid.org/0000-0003-2570-7806 Asahi Sato http://orcid.org/0000-0002-0985-9394 Hikotaro Katsura http://orcid.org/0000-0112-1035-5636 Ryotaro Tani http://orcid.org/0000-0002-1117-6031 Ryuhei Aoyama http://orcid.org/0000-0002-0402-4232 Yudai Sasaki http://orcid.org/0000-0002-0602-6135 Masaharu Okada http://orcid.org/0000-0002-8070-1880 Masazumi Zaima http://orcid.org/0000-0001-6063-4935
Funding Agency and Grant Number
Corresponding Author	Tomohide Hori, FACS, MD, PhD, Associate Professor, Surgeon, Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyama 524-8524, Shiga, Japan. horitomo55office@yahoo.co.jp
Key Words	Pancreaticoduodenectomy; Endovascular treatment; Stent-graft; Covered stent; Transcatheter arterial embolization; Arterioportal shunting
Core Tip	Arterial hemorrhage after pancreaticoduodenectomy is fatal. This hemorrhage is caused by pseudoaneurysm rupture, and the gastroduodenal artery stump and hepatic artery are frequent culprit vessels. Simultaneous accomplishment of complete hemostasis and hepatic artery flow preservation is difficult after pancreaticoduodenectomy. Although complete hemostasis may be obtained by transcatheter arterial embolization or surgery, liver infarction and/or abscesses may occur. We here evaluate our experience including actual treatments (transcatheter arterial embolization, stent-graft placement, or surgery), and discuss therapeutic strategies. Transcatheter placement of a covered stent is useful for simultaneous accomplishment of complete hemostasis and hepatic arterial flow preservation.
Publish Date	2021-04-16 10:13
Citation	Kamada Y, Hori T, Yamamoto H, Harada H, Yamamoto M, Yamada M, Yazawa T, Sasaki B, Tani M, Sato A, Katsura H, Tani R, Aoyama R, Sasaki Y, Okada M, Zaima M. Fatal arterial hemorrhage after pancreaticoduodenectomy: How do we simultaneously accomplish complete hemostasis and hepatic arterial flow? World J Hepatol 2021; 13(4): 483-503
URL	https://www.wjgnet.com/1948-5182/full/v13/i4/483.htm
DOI	https://dx.doi.org/10.4254/wjh.v13.i4.483

Full Article (PDF)	WJH-13-483.pdf
Full Article (Word)	WJH-13-483.docx