scholarly journals Endovascular treatment of a giant hepatic artery aneurysm with Amplatzer vascular plug

2014 ◽  
Vol 60 (2) ◽  
pp. 500-502 ◽  
Author(s):  
Rafael Noronha Cavalcante ◽  
Viviane Augusto Pereira Couto ◽  
André Vinicius da Fonseca ◽  
Robson Barbosa de Miranda ◽  
Agenor José Vasconcelos Costa ◽  
...  
2013 ◽  
Vol 74 (7) ◽  
pp. 1973-1978 ◽  
Author(s):  
Eiichi ETO ◽  
Yasuhiro ITO ◽  
Kouki MIHARA ◽  
Tomohisa EGAWA ◽  
Shinobu HAYASHI ◽  
...  

2001 ◽  
Vol 35 (6) ◽  
pp. 477-481 ◽  
Author(s):  
Renee N. Georges ◽  
Steven Lipman ◽  
Fred Silvestri ◽  
Barry Sussman ◽  
Herbert Dardik

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Umut Oguslu ◽  
Sadik Ahmet Uyanik ◽  
Burçak Gümüş

Abstract Background Hepatic arterioportal fistulas are rare, abnormal, direct communications between hepatic artery and portal venous system. Treatment options shifted from surgery to endovascular interventions. Catheterization may be challenging. We report a case of a hepatic arterioportal fistula treated successfuly with Amplatzer Vascular Plug II via percutaneous transhepatic hepatic artery access after failed transfemoral approach. Case presentation 58 year old woman presented with right heart failure, kidney insufficiency and massive ascites related to portal hypertension caused by hepatic arterioportal fistula. She had a history of previous abdominal surgery. Colour Doppler ultrasound and computed tomography revealed a giant portal vein aneurysm related to large hepatic areterioportal fistula. Endovascular treatment was planned. Catheterization of the hepatic artery could not be realized due to severe tortuosity and angulation of the celiac artery and its branches. Access to the hepatic artery was obtained directly via percutaneous transhepatic route and fistula site was embolized with Amplatzer Vascular Plug II and coils. Immediate thrombosis of the aneurysm sac and draining portal vein was observed. Patients clinical status improved dramatically. Conclusion Transcatheter embolization is the first choice of the treatment of hepatic arterioportal fistulas but the type of the therapy should be tailored to the patient and interventional radiologist should decide the access site depending on his own experience if the routine endovascular access can not be obtained.


2010 ◽  
Vol 9 (1) ◽  
pp. 104-106 ◽  
Author(s):  
Gabrielle L de Ruiter-Derksen ◽  
Rutger CG Bruijnen ◽  
Frank Joosten ◽  
Michel MPJ Reijnen

2015 ◽  
Vol 12 (2) ◽  
Author(s):  
Hossein Hemmati ◽  
Mehdi Karimian ◽  
Habibollah Moradi ◽  
Kambiz Farid Marandi ◽  
Afrooz Haghdoost

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