Fatal arterial hemorrhage after pancreaticoduodenectomy: How do we simultaneously accomplish complete hemostasis and hepatic arterial flow?

Figure 2 Actual procedures of transcatheter placement of covered stent. Actual procedures in patient 7 and patient 16 are shown. A: Patient 7, diagnostic angiography clearly detected the bleeding sites; B: Patient 7, the target artery was dilated by a balloon catheter; C: Patient 7, a covered stent was placed at the culprit artery; D: Patient 16, diagnostic angiography clearly detected the bleeding sites; E: Patient 16, the target artery was dilated by a balloon catheter; F: Patient 16, the second overlapping stent-graft was implanted in an overlapping fashion. The hepatopetal arterial flow resumed (C and F). Hence, complete hemostasis and preservation of hepatic artery flow were simultaneously obtained.