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

Figure 7 Flowchart of endovascular treatments and arterioportal shunting. Actual flowchart of our patients who caused arterial hemorrhage after pancreaticoduodenectomy was shown. ¹Image findings of computed tomography angiography and/or diagnostic angiography. ²Patients with liver infarction after transcatheter arterial embolization. ³Patients with poor outcome even after successful stent-graft placement. PD: Pancreaticoduodenectomy; HA: Hepatic artery; TAE: Transcatheter arterial embolization; EVT: Endovascular treatment; GDA: Gastroduodenal artery; RHA: Right hepatic artery; SA: Splenic artery; DPA: Dorsal pancreatic artery.