Traumatic inferior phrenic artery injury

2021 ◽  
Author(s):  
Titilope Aluko ◽  
Jefferson F. Benites, MD ◽  
Sabina Amin, MD
Keyword(s):  
Inferior Phrenic Artery ◽  
Artery Injury ◽  
Phrenic Artery

scholarly journals A case of delayed hemothorax with an inferior phrenic artery injury detected and treated endovascularly

2015 ◽  
Vol 3 (7) ◽  
pp. 660-663 ◽  
Author(s):  
Keiji Yamanashi ◽  
Shota Nakao ◽  
Koji Idoguchi ◽  
Tetsuya Matsuoka
Keyword(s):  
Inferior Phrenic Artery ◽  
Artery Injury ◽  
Phrenic Artery

scholarly journals Massive hemothorax due to inferior phrenic artery injury after blunt trauma

2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Makoto Aoki ◽  
Kei Shibuya ◽  
Minoru Kaneko ◽  
Ayana Koizumi ◽  
Masato Murata ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Inferior Phrenic Artery ◽  
Artery Injury ◽  
Massive Hemothorax ◽  
Phrenic Artery

Hemoperitoneum Due to Left Inferior Phrenic Artery Injury During Pericardiocentesis

2015 ◽  
Vol 68 (11) ◽  
pp. 1031-1032
Author(s):  
Sara Jareño Martínez ◽  
Marcos Bruna Esteban ◽  
Ruth Núñez Ronda ◽  
Isabel Grifo Albalat ◽  
Óscar Fabregat-Andrés
Keyword(s):  
Inferior Phrenic Artery ◽  
Artery Injury ◽  
Phrenic Artery

scholarly journals Right inferior phrenic artery injury as a complication of needle aspiration: a case report

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Mohamed El Adel ◽  
Sayed Hassan ◽  
Mohamed A. Nady ◽  
Ahmed Ghoneim ◽  
Hany Seif
Keyword(s):  
Traumatic Injury ◽  
Needle Aspiration ◽  
Endovascular Embolization ◽  
Organ Injury ◽  
Inferior Phrenic Artery ◽  
Artery Injury ◽  
Abdominal Bleeding ◽  
Phrenic Artery ◽  
The Right ◽  
Dissection Technique

Abstract Background To the best of the author’s knowledge, inferior phrenic artery injury was not documented in the literature as a complication of chest tube insertion or needle aspiration, and our case was the first to be mentioned in literature. Traumatic injury to the inferior phrenic artery is extremely rare. It was reported to be injured by blunt trauma such as motorcar accident and may be associated with another organ injury. Case presentation The present case represents an unexpected event of inferior phrenic artery injury due to iatrogenic chest aspiration. Despite the safe maneuver we have approached in our center using a blunt dissection technique rather than the trocar technique, an unexpected complication occurred. The right inferior phrenic artery was injured with subsequent intra-abdominal bleeding and shock. It was treated successfully by endovascular embolization of the bleeding artery. Conclusions This complication might add a further morbidity and mortality and raising the responsibility of the surgeon to one of the most common daily surgeon’s practices.

scholarly journals Right inferior phrenic artery pseudoaneurysm after a laparoscopic gastrectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Kaoruko Funakoshi ◽  
Yuji Ishibashi ◽  
Shuntaro Yoshimura ◽  
Ryoto Yamazaki ◽  
Fumihiko Hatao ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lymph Node Dissection ◽  
Laparoscopic Gastrectomy ◽  
Rare Complication ◽  
Clinical Signs ◽  
Node Dissection ◽  
Artery Pseudoaneurysm ◽  
Inferior Phrenic Artery ◽  
Thermal Spread ◽  
Phrenic Artery

Abstract Background Ruptured pseudoaneurysms are a rare complication of gastrectomy, but when they do develop, they are often fatal. We presented herein the first report of a case of pseudoaneurysm arising from the right inferior phrenic artery (RIPA) after a laparoscopic gastrectomy. Case presentation A 61-year-old male patient underwent a laparoscopic distal gastrectomy and D1+ lymph node dissection with Roux-en-Y reconstruction for early gastric cancer. He was discharged on postoperative day (POD) 9 without any complications, such as anastomotic or pancreatic leakage. On POD 19, he was referred to the emergency room for upper abdominal pain. Enhanced abdominal computed tomography revealed a 60 × 70 mm hematoma, indicating intra-abdominal bleeding and a 10-mm pseudoaneurysm in the RIPA. Selective digital subtraction angiography confirmed the presence of a pseudoaneurysm in the RIPA, which was embolized using multiple microcoils. Thereafter, no clinical signs were observed, and the patient was discharged from the hospital 15 days after angiography without any recurrence of bleeding. We hypothesized that the cause of the pseudoaneurysm was mechanical vascular injury due to the thermal spread of the ultrasonically activated devices (USADs) during lymphatic node dissection. Conclusion Given the thermal spread of USADs, safe and appropriate lymph node dissection based on precise anatomical knowledge is crucial to preventing postoperative pseudoaneurysms.

Diaphragmatic Weakness after Transcatheter Arterial Chemoembolization of Inferior Phrenic Artery for Treatment of Hepatocellular Carcinoma

Radiology ◽  
2006 ◽  
Vol 241 (2) ◽  
pp. 581-588 ◽  
Author(s):  
Sung Wook Shin ◽  
Young Soo Do ◽  
Sung Wook Choo ◽  
Wei Chiang Lieu ◽  
Sung Ki Cho ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Transcatheter Arterial Chemoembolization ◽  
Inferior Phrenic Artery ◽  
Phrenic Artery ◽  
Diaphragmatic Weakness ◽  
Arterial Chemoembolization

Yttrium-90 Radioembolization of the Right Inferior Phrenic Artery in 20 Patients with Hepatocellular Carcinoma

2018 ◽  
Vol 29 (4) ◽  
pp. 556-563 ◽  
Author(s):  
Hyo-Cheol Kim ◽  
Yoon Jun Kim ◽  
Jin Chul Paeng ◽  
Jin Wook Chung
Keyword(s):  
Hepatocellular Carcinoma ◽  
Inferior Phrenic Artery ◽  
Phrenic Artery ◽  
The Right ◽  
Yttrium 90

Diaphragmatic weakness after transcatheter arterial chemoembolization of the right inferior phrenic artery for treatment of hepatocellular carcinoma: a comparison of outcomes after N-butyl cyanoacrylate versus gelatin sponge embolization

2020 ◽  
pp. 028418512098177
Author(s):  
Seung Yeon Noh ◽  
Dong Il Gwon ◽  
Suyoung Park ◽  
Woo Jin Yang ◽  
Hee Ho Chu ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Complete Response ◽  
Gelatin Sponge ◽  
Inferior Phrenic Artery ◽  
Gelatin Sponge Particles ◽  
Phrenic Artery ◽  
The Right ◽  
Diaphragmatic Weakness ◽  
Arterial Chemoembolization

Background The inferior phrenic artery (IPA) is the most common extrahepatic feeder for hepatocellular carcinoma (HCC) during transhepatic arterial chemoembolization (TACE). Purpose To compare the incidence of diaphragmatic weakness in patients with HCC after TACE of the right IPA conducted using either N-butyl cyanoacrylate (NBCA) or gelatin sponge particles. Material and Methods Medical records of 111 patients who underwent TACE of the right IPA using NBCA were retrospectively reviewed and compared with data from 135 patients with IPA embolization using gelatin sponge particles. Results The incidence of diaphragmatic weakness after the initial TACE procedure did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 20.7%; P = 0.458). Five patients in the NBCA group and 11 in the gelatin sponge group showed spontaneous resolution of diaphragmatic weakness after a mean period of 3.5 months. Diaphragmatic weakness developed after the initial follow-up visit in 17 patients from the gelatin sponge group due to repeated TACE of the right IPA (mean 2.4 sessions; range 2–4 sessions), while it spontaneously developed without additional TACE procedures in one patient from the NBCA group. Permanent diaphragmatic weakness was less common in the NBCA than in the gelatin sponge group (12.6% and 25.2%, respectively; P = 0.017). The complete response rate did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 25.9%; P = 0.065). Conclusion Use of NBCA rather than gelatin sponge particles for TACE of the right IPA resulted in a lower incidence of permanent diaphragmatic weakness.

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