scholarly journals Effectiveness of Endovascular Coil Embolization of Ruptured Hepatic Artery Pseudoaneurysm

2017 ◽  
Vol 06 (02) ◽  
pp. 7-15
Author(s):  
Jung Wook Seo
2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Jorge E. Sandelis-Pérez ◽  
Andrés Córdova-Toro ◽  
Steven García-Santiago ◽  
Erica G. Otero-Cárdenas ◽  
Pedro Gil de Rubio-Cruz ◽  
...  

Hepatic artery pseudoaneurysm is a rare condition; they are multifactorial, most of them locating in the extrahepatic vasculature and the mortality associated to its rupture may reach up to 70%. We report a 77 years old female who was admitted due to headache and uncontrolled hypertension and that on her second hospital day developed sudden hemodynamic instability, abdominal pain, fatigue, skin-mucosa pallor, and anemia. Abdominal CT scan with contrast showed a left hepatic artery pseudoaneurysm associated with extensive hemoperitoneum. Patient required emergent hemodynamic stabilization and finally was treated successfully with a superselective endovascular coil embolization. Our patient represents an atypical case of a spontaneous rupture of an idiopathic hepatic artery pseudoaneurysm. Hence, the importance of having a high index of clinical suspicion. Endovascular coil embolization has become the first-line treatment.


2008 ◽  
Vol 18 (11) ◽  
pp. 2579-2581 ◽  
Author(s):  
Antonio Basile ◽  
Salvatore Ragazzi ◽  
Diego Piazza ◽  
Dimitrios Tsetis ◽  
Tommaso Lupattelli ◽  
...  

2021 ◽  
Vol 5 (2) ◽  
pp. 70-71
Author(s):  
Adriana Fabiola Romano-Munive

We described a case of hepatic artery pseudoaneurysm occurring as a complication of biliary stent migration, presented as cholangitis. It was managed by endoscopic retrograde cholangiopancreatoraphy and the pseudoaneurysm was treated with coil embolization.


Surgery Today ◽  
2014 ◽  
Vol 45 (6) ◽  
pp. 772-776 ◽  
Author(s):  
Ryota Kawasaki ◽  
Naokazu Miyamoto ◽  
Haruka Oki ◽  
Takuya Okada ◽  
Masato Yamaguchi ◽  
...  

Author(s):  
Kiran K. Turaga ◽  
Bardia Amirlak ◽  
Richard E. Davis ◽  
Khalil Yousef ◽  
Alan Richards ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Alfredo Páez-Carpio ◽  
Elena Serrano ◽  
Federico Zarco ◽  
Constantino Fondevila ◽  
Marta Burrel

Abstract Background The formation of a hepatic artery pseudoaneurysm in a liver implant is a rare but potentially fatal complication. Fistulization of such pseudoaneurysms into the bile duct is sporadic. The most common causes of hepatic artery pseudoaneurysm are infection at the anastomosis site, inadequate surgical technique, and an iatrogenic origin due to minimally invasive procedures. Currently, there is no standardized treatment in neither of these complications, with surgery and various endovascular procedures among the alternatives available. None of these therapeutic approaches has demonstrated a significant increase in long-term liver implant preservation. Case presentation A 56-year-old man with a two-month liver transplant presented with massive upper gastrointestinal bleeding and hemobilia shortly after the performance of an endoscopic retrograde cholangiopancreatography due to the presence of a hepatic artery pseudoaneurysm with fistulization into the bile duct. This case report describes the successful treatment of both complications, the hepatic artery pseudoaneurysm and the arterio-biliary fistula, using a covered coronary stent placed in the hepatic artery. A year and a half after treatment, the patient maintains a preserved liver implant and a patent hepatic artery. Conclusions Treatment of a hepatic artery pseudoaneurysm with fistulization into bile duct using a covered coronary stent allowed the correct repair of the defect, adequate hemorrhage control, and long-term liver implant preservation.


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