Interventional Radiology Options after Visceral Surgery

Deniz S.Öcal O.a· Kühn F.b· Angele M.K.b· Werner J.b· Streitparth F.a

Author affiliations

aDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany
bDepartment General, Visceral, and Transplantation Surgery, University Hospital, LMU Munich, Munich, Germany

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Article / Publication Details

First-Page Preview

Abstract of Review Article

Received: April 21, 2022
Accepted: August 26, 2022
Published online: October 21, 2022
Issue release date:

Number of Print Pages: 11
Number of Figures: 5
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: https://www.karger.com/VIS

Abstract

Background: Postoperative management of patients undergoing visceral surgery can present challenging clinical situations with significant morbidity and mortality. Interventional radiological techniques offer quick, safe, and effective minimally invasive treatment options in the postoperative management of visceral surgery. Summary: Most commonly done procedures include – but are not limited to – fluid or abscess drainage, biliary diversion, bleeding embolization, and re-canalization of a thrombosed vessel. While bleeding from side branches after hepatobiliary and pancreatic surgeries can be managed by coil embolization, the hepatic arterial injury should be managed by stent-graft placement. Hepatic venous complications can require a transhepatic or transjugular approach, whereas the transjugular intrahepatic portosystemic shunt approach has a higher clinical success rate in patients with portal vein thrombosis. Biliary leakages require multidisciplinary management, and interventional radiology can offer an efficient treatment, especially in patients with biliodigestive anastomosis. Key Messages: Interventional radiology provides a broad spectrum of procedures in the management of patients with recent visceral surgery.

© 2022 S. Karger AG, Basel

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First-Page Preview

Abstract of Review Article

Received: April 21, 2022
Accepted: August 26, 2022
Published online: October 21, 2022
Issue release date:

Number of Print Pages: 11
Number of Figures: 5
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: https://www.karger.com/VIS

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