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La place de la chirurgie et de la radiologie interventionnelle (RI) dans la gestion de l'hémorragie artérielle tardive (HT) (>24h) post chirurgie sus-mésocolique (CSM) reste à préciser. Objectif : Évaluer la morbi-mortalité des HT post CSM selon leur prise en charge ,
, Étude observationnelle rétrospective monocentrique au sein du Centre Hospitalier Universitaire de Grenoble, entre 2005 et 2019. Étaient inclues toutes les HT post CSM
, La gestion des HT se basait sur l'hémodynamique initiale : angioscanner puis RI
, La mortalité était de 32% (n =18) et 22 patients (39%) ont présenté plus d'une HT. L'instabilité hémodynamique initiale était le seul facteur prédictif de mortalité (p=0,008), Résultats : 86 HT ont été observées chez 57 patients après duodénopancréatectomie céphalique (n = 26), transplantation hépatique (n = 24) ou autres (n = 7)
, Conclusion : La RI doit être préférée dans le traitement des HT des patients hémodynamiquement
, Mots clés : hémorragie artérielle post-opératoire retardée, chirurgie sus-mésocolique, pseudoanévrysme, récidive, radiologie interventionnelle