scholarly journals Endovascular retrieval of a dislocated pushable coil in the common hepatic artery using a cerebral stent retriever

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Mohammed Shamseldin ◽  
Albrecht Stier ◽  
Norbert Hosten ◽  
Ralf Puls
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Common Hepatic Artery ◽  
Stent Retriever ◽  
Arterial Blood Flow ◽  
Slowing Down ◽  
Arterial Blood ◽  
First Case ◽  
Stent Retrievers ◽  
The Common

Abstract Background This is case of removing a dislocated pushable coil from the common hepatic artery (CHA) as a possible complication of using pushable coils in the embolization of an upper gastrointestinal bleeding (UGIB) from the gastroduodenal artery (GDA) by using a pRESET stent retriever (Phenox, Bochum, Germany) which is utilized mainly for treatment of endovascular stroke. Case presentation An 88-year-old female patient was referred to our hospital to get an emergency embolization of the GDA causing an UGIB with a relevant drop of the hemoglobin level. During the routine embolization of the GDA using pushable coils, a complete dislocation of the last coil into the CHA took place leading to a relevant slowing down of the arterial blood flow to the liver. A decision was thereby made to remove the dislocated coil to avoid further possible complications which was successfully achieved. Conclusions Various stent retrievers have been proven to be effective in removing dislocated coils during intracerebral coiling of different pathologies. This case report is to our knowledge the first case report proving the high efficacy and safety of using yet another stent retriever, namely a pRESET stent retriever in removing a fully dislocated coil in the abdominal vessels, namely in this case the CHA.

scholarly journals Endovascular Retrieval of a Dislocated Pushable Coil in the Common Hepatic Artery Using a Cerebral Stent Retriever

2021 ◽  
Author(s):  
Mohammed Shamseldin
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Common Hepatic Artery ◽  
Stent Retriever ◽  
Arterial Blood Flow ◽  
Slowing Down ◽  
Arterial Blood ◽  
First Case ◽  
Stent Retrievers ◽  
The Common

Abstract BACKGROUNDThis is case of removing a dislocated pushable coil from the common hepatic artery (CHA) as a possible complication of using pushable coils in the embolization of an upper gastrointestinal bleeding (UGIB) from the gastroduodenal artery (GDA) by using a pRESET stent retriever (Phenox, Bochum, Germany) which is utilized mainly for treatment of endovascular stroke.CASE PRESENTATIONAn 88-year-old female patient was referred to our hospital to get an emergency embolization of the GDA causing an UGIB with a relevant drop of the hemoglobin level. During the routine embolization of the GDA using pushable coils, a complete dislocation of the last coil into the CHA took place leading to a relevant slowing down of the arterial blood flow to the liver. A decision was thereby made to remove the dislocated coil to avoid further possible complications which was successfully achieved. CONCLUSIONSVarious stent retrievers have been proven to be effective in removing dislocated coils during intracerebral coiling of different pathologies. This case report is to our knowledge the first case report proving the high efficacy and safety of using yet another stent retriever, namely a pRESET stent retriever in removing a fully dislocated coil in the abdominal vessels, namely in this case the CHA.

New method of hepatic artery reconstruction after its injury or resection.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e16221-e16221
Author(s):  
Oksana V. Katelnitskaya ◽  
Oleg I. Kit ◽  
Yuriy A. Gevorkyan ◽  
Aleksandr V. Snezhko ◽  
Oleg Yu. Kaymakchi ◽  
...  
Keyword(s):  
Blood Flow ◽  
Hepatic Artery ◽  
Left Gastric Artery ◽  
Common Hepatic Artery ◽  
Arterial Blood Flow ◽  
Gastric Artery ◽  
Arterial Blood ◽  
Iatrogenic Damage ◽  
The Common ◽  
Reduced Time

e16221 Background: Restoration the hepatic arterial blood flow is required in traumatic or iatrogenic damage to the hepatic artery and its branches, as well as in the planned resection of the hepatic artery with subsequent reconstruction. Various ways have been proposed to solve this problem: ligation of the hepatic artery and its branches, which is associated with an extremely high mortality rate, reaching 70%, and the need for extensive liver resections; portal vein arteriolization; transposition of the splenic artery with its severe complications (heart attack, abscess) or hepatic artery replacement sometimes are not available and imply aggressive anticoagulant therapy, which is often challenging after extensive oncological interventions. Prosthetic vascular grafts are associated with a high risk of infection. We propose replacement of the common hepatic artery defect by transposition of the left gastric artery and end-to-end anastomosis between the proximal end of the left gastric artery and the distal end of the hepatic artery. Methods: The proposed method was applied in 7 cancer patients - 4 cases of iatrogenic damage to the common hepatic artery in lymph node dissection of the hepatoduodenal ligament and 3 resection of the common hepatic artery with tumor infiltration. The mean age of patients was 53 years. 2 patients had surgery for gastric cancer, 5 - pancreatic cancer. Results: The vascular reconstruction lasted for 17 minutes. No thrombotic complications of the reconstruction area or liver necrosis in the postoperative period were registered. The main advantages of this method were the absence of synthetic materials or deficit blood supply to neighboring organs, and no need for extensive mobilization of the great vessels in other areas (renal artery, abdominal aorta). Conclusions: The proposed method for reconstruction of the hepatic artery allows performing a simple and adequate restoration of the hepatic arterial blood flow, reduced time of the vascular stage of the surgery and reduced incidence of postoperative complications associated with the vascular stage - reduced time of liver ischemia and reduced risk of thrombosis in the reconstruction area.

scholarly journals Absence of the celiac trunk and trifurcation of the common hepatic artery: a case report

2016 ◽  
Vol 15 (3) ◽  
pp. 259-262
Author(s):  
Satheesha Nayak Badagabettu ◽  
Ashwini Aithal Padur ◽  
Naveen Kumar ◽  
Deepthinath Reghunathan
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Rare Variant ◽  
Adult Male ◽  
Celiac Trunk ◽  
Anatomical Variations ◽  
Common Hepatic Artery ◽  
Review Of The Literature ◽  
Male Cadaver ◽  
The Common

Abstract Anatomical variations of the celiac trunk and its branches are particularly important from a surgical perspective due to their relationships with surrounding structures. We report here a particularly rare variant involving absence of the celiac trunk in association with trifurcation of the common hepatic artery. These variations were found in an adult male cadaver. We perform a review of the literature and discuss the clinical and embryological significance of these variations. Recognition of celiac trunk and hepatic artery variations is of utmost importance to surgeons and radiologists because multiple variations can lead to undue complications.

scholarly journals Replaced Right Hepatic Artery Originating from the Common Hepatic Artery: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Aqsa Shakoor ◽  
Aqsa Shakoor ◽  
Beth Schrope
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Hepatic Artery ◽  
Vascular Anomaly ◽  
Common Hepatic Artery ◽  
Important Distinction ◽  
Bilioenteric Anastomosis ◽  
Right Hepatic Artery ◽  
Replaced Right Hepatic Artery ◽  
The Common

The presence of an aberrant right hepatic artery is the most frequently encountered vascular anomaly during pancreaticoduodenectomy, and its recognition and preservation are of paramount importance to prevent ischemia of the bile duct and consequently the bilioenteric anastomosis, which can lead to anastomotic leak or dehiscence and fistula. In this case report, we describe proximal branching of the common hepatic artery (CHA) to give rise to a replaced right hepatic artery (RHA), which courses posterior to the portal vein (PV) and common bile duct (CBD) to the right lobe of the liver. The location of this replaced RHA in the hepatoduodenal ligament is consistent with the location of a replaced RHA described by the Michels classification, although with the important distinction that origin was the CHA instead of the superior mesenteric artery (SMA). From our review of the current literature, this is the first published description of such an anatomic course of the RHA.

scholarly journals A CASE REPORT OF RUPTURED ANEURYSM OF THE COMMON HEPATIC ARTERY CAUSED BY A DRAIN IN WHICH A USE OF GRF glue® WAS SUCCESSFUL

1999 ◽  
Vol 60 (6) ◽  
pp. 1591-1595 ◽  
Author(s):  
Shinichi TAKEMURA ◽  
Masanori SUZUKI ◽  
Michiaki UNNO ◽  
Koujin ENDO ◽  
Tetsuyuki UCHIYAMA ◽  
...  
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Common Hepatic Artery ◽  
Ruptured Aneurysm ◽  
The Common ◽  
Grf Glue

scholarly journals Providing Arterial Supply to the Liver Graft with Recipient Splenic Artery in Living Donor Liver Transplantation: Case Report

2020 ◽  
pp. 1-3
Author(s):  
Kaleem Ullah ◽  
Shams Uddin ◽  
Hala Izzu ◽  
Kaleem Ullah ◽  
Abdul Wahab Dogar ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Case Report ◽  
Hepatic Artery ◽  
Splenic Artery ◽  
Surgical Techniques ◽  
Arterial Blood Flow ◽  
Liver Graft ◽  
Artery Dissection ◽  
Arterial Blood ◽  
Operative Recovery

Hepatic arterial reconstruction is an important step in graft implantation in liver transplant procedure. Hepatic arterial anastomosis always demands meticulous and highly skilled surgical techniques to provide adequate blood supply to the graft. Hepatic arterial intimal dissection in liver transplantation is although a rare but documented complication, with incidence of less than 5%, but having dreadful complications. To overcome this complication of Recipient hepatic artery dissection, various techniques have been described by different authors. Here, in this case report we are describing technique of utilization of transposed recipient splenic artery for graft arterial inflow where native hepatic artery was dissected up to common hepatic artery. Post-operative recovery was uneventful and on follow up, patient was absolutely fine. So, recipient splenic artery is a safe alternative option in such complex situations for providing arterial blood flow to the graft and moreover it avoids the burden of extra anastomosis which is required in conduit technique.

scholarly journals Aneurysm of the common hepatic artery: a case report

Choonpa Igaku ◽  
2010 ◽  
Vol 37 (4) ◽  
pp. 515-517
Author(s):  
Aki TAKAHASHI ◽  
Toshiko HIRAI ◽  
Nagaaki MARUGAMI ◽  
Namiko YAMASHITA ◽  
Hajime OISHI
Keyword(s):  
Case Report ◽  
Hepatic Artery ◽  
Common Hepatic Artery ◽  
The Common
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