scholarly journals Endovascular Management of Hepatic Artery Pseudoaneurysm

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Marlina Tanty R. ◽  
Hilwati H. ◽  
A Sobri M.
Keyword(s):  
Hepatic Artery ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Parent Artery ◽  
Endovascular Management ◽  
Conventional Angiography ◽  
Artery Pseudoaneurysm ◽  
Risk Of Rupture ◽  
Underlying Illness ◽  
Gi Bleed

Hepatic artery pseudoaneurysms (HAP) is a result of injury to the hepatic artery and must be treated due to its high risk of rupture. Endovascular treatment of pseudoaneurysm is effective and minimally invasive. We describe four cases of HAPs that presented with gastrointestinal (GI) bleed. The HAPs developed as a consequence of surgery for carcinoma, infection, trauma due to motor-vehicle accident and biliary instrumentation. Diagnoses were made using CT and conventional angiography. Embolisations were done either to the pseudoaneurysm or the parent artery using glue, Onyx or coils via microcatheter systems. Postembolisation runs showed no opacification of the pseudoaneurysms and the GI bleed resolved with no recurrence. The final outcome differs according to each patient’s underlying illness. We highlight our experience in the endovascular management of HAP using various embolic agents and in particular, Onyx. To the best of our knowledge, this is the first reported case of Onyx embolization of HAP.

scholarly journals Equine pericardium-covered stenting in post-traumatic pseudoaneurysm of cavernous internal carotid artery

2018 ◽  
Vol 24 (6) ◽  
pp. 635-638
Author(s):  
Jorge L Gonzalez-Cantero ◽  
Mariano del Valle Diéguez ◽  
Cristina Monteserín Matesanz ◽  
Javier Saura Lorente ◽  
Francisco Villoria Medina ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Covered Stent ◽  
Parent Vessel ◽  
Artery Pseudoaneurysm ◽  
Equine Pericardium ◽  
Post Traumatic

We report a case of traumatic intracranial carotid artery pseudoaneurysm treated with an equine pericardium-covered stent. The patient was admitted to the Emergency Department after sustaining severe polytrauma in a motor vehicle accident. A cavernous carotid pseudoaneurysm was detected after an episode of massive epistaxis that required emergent nasal packing. Treatment with parent vessel sacrifice was ruled out after an unfavourable balloon test occlusion. We opted for an equine pericardium-covered stent as a means to immediately seal the wall defect in the setting of massive bleeding secondary to an unstable lesion. We describe the potential benefits and drawbacks of these prostheses and the technical difficulties encountered in this particular case. To our best knowledge, this is the first published case report on a post-traumatic intracranial internal carotid artery pseudoaneurysm successfully treated with an equine pericardium-covered stent.

The Role of Sonography in a Rare Case of Hepatic Artery Pseudoaneurysm: A Case Study Report

2021 ◽  
pp. 875647932110189
Author(s):  
Nadia M. Chupka ◽  
Thomas D. Atwell ◽  
Ian R. McPhail ◽  
Talisha M. Hunt
Keyword(s):  
Hepatic Artery ◽  
Imaging Modality ◽  
Liver Trauma ◽  
Artery Pseudoaneurysm ◽  
Risk Of Rupture ◽  
Case Study Report ◽  
Inflammatory Processes ◽  
Life Threatening

Hepatic artery pseudoaneurysms (HAPs) are rare, life-threatening complications that arise in response to liver trauma or underlying inflammatory processes. The risk of rupture necessitates prompt diagnosis and treatment. Sonography is an important imaging modality used to evaluate and characterize suspected HAPs. In the case described below, sonography played an important role in the diagnosis and successful treatment of a patient with a large, high-risk HAP.

Endovascular Management of Hepatic Artery Pseudoaneurysm

2012 ◽  
Vol 78 (12) ◽  
pp. 1411-1412
Author(s):  
Abindra Sigdel ◽  
Marvin E. Morris ◽  
Andrea Yancey ◽  
Amit J. Dwivedi
Keyword(s):  
Hepatic Artery ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

Stent-Graft Treatment of a Common Carotid Artery Pseudoaneurysm

2000 ◽  
Vol 7 (2) ◽  
pp. 136-140 ◽  
Author(s):  
Franco Simionato ◽  
Claudio Righi ◽  
Germano Melissano ◽  
Antonio Rolli ◽  
Roberto Chiesa ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Arterial Wall ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vascular Pathology ◽  
Stent Grafts ◽  
Color Flow ◽  
Femoral Access ◽  
Artery Pseudoaneurysm

Purpose: To report a case demonstrating successful endovascular treatment of a right common carotid artery pseudoaneurysm using a commercially prepared balloon-expandable covered stent. Methods and Results: A 50-year-old man was evaluated for syncopal episodes. He had a history of severe trauma sustained in a motor vehicle accident 3 years before symptom onset. Doppler ultrasound scanning detected a pseudoaneurysm at the origin of the right common carotid artery. The defect measured 25 mm × 20 mm with a 22-mm-long neck on angiography and computed tomography; there was no evidence of carotid stenosis or associated vascular pathology. Via a percutaneous femoral access, 2 Jostent peripheral stent-grafts were placed at the level of the aneurysm, safely achieving complete repair of the arterial wall defect. The patient was asymptomatic at his 12-month evaluation. Color flow duplex scans showed continued exclusion of the pseudoaneurysm. Conclusions: Wide-necked aneurysms in the extracranial carotid arteries may be treated with stent-grafts, which can achieve complete and permanent reconstruction of the arterial wall by excluding the aneurysm.

scholarly journals Endovascular management of hepatic artery pseudoaneurysm hemorrhage complicating pancreaticoduodenectomy

2006 ◽  
Vol 43 (3) ◽  
pp. 613-617 ◽  
Author(s):  
John Harvey ◽  
Herbert Dardik ◽  
Theresa Impeduglia ◽  
Daniel Woo ◽  
Frank DeBernardis
Keyword(s):  
Hepatic Artery ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm

scholarly journals Endovascular Management of Internal Carotid Artery Pseudoaneurysm Secondary to Pediatric Deep Neck Space Infection: A Case Report and Review of Literature

2022 ◽  
Author(s):  
Rengarajan Rajagopal ◽  
Smily Sharma ◽  
Meenu Bagarhatta ◽  
Sarbesh Tiwari ◽  
Rajeev Bagarhatta
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Parent Artery ◽  
Complication Rates ◽  
Endovascular Management ◽  
Artery Pseudoaneurysm ◽  
Space Infection ◽  
Parent Artery Occlusion

AbstractPseudoaneurysms of extracranial internal carotid artery (ICA) are rare in children. Main causes include trauma, iatrogenic causes, and neck space infection. Prompt diagnosis and management is vital, in view of life-threatening complications like fatal airway hemorrhage and stroke. Endovascular management has currently become the preferred treatment strategy due to its minimally invasive nature and lower complication rates. We report a rare case of mycotic pseudoaneurysm of extracranial ICA in a 4-year-old child as a complication of neck space infection, which was successfully managed with endovascular parent artery occlusion.

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