Document Detail


Hepatic arterial embolization for massive bleeding from an intrahepatic artery pseudoaneurysm using N-butyl-2-cyanoacrylate after living donor liver transplantation.
MedLine Citation:
PMID:  21070387     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Parenchymal pseudoaneurysm of the hepatic arteries with massive intraperitoneal bleeding is rare but a serious life-threatening complication when it occurs following liver transplantation. We report a case of an adult postliving donor liver transplant recipient who developed massive subcapsular bleeding combined with massive right pleural effusion from ruptured multiple small intrahepatic arteries, which developed from a pseudoaneurysm that was treated by hepatic arterial embolization. Successful embolization was performed via a percutaneous trans-catheter approach by depositing 20-25%N-butyl-2-cyanoacrylate (NBCA) through the multiple small intrahepatic arteries into the pseudoaneurysm. Complete occlusion of the feeding arteries and pseudoaneurysm cavity resulted to immediate cessation of bleeding. There was no re-bleeding; and normal liver graft function was noted postembolization. Hepatic arterial embolization with NBCA can be used as treatment for postliver transplant peripheral intrahepatic artery pseudoaneurysm bleeding.
Authors:
Hsin-You Ou; Allan M Concejero; Chun-Yen Yu; Tung-Liang Huang; Tai-Yi Chen; Leo Leung-Chit Tsang; Chao-Long Chen; Shih-Ho Wang; Yu-Fan Cheng
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Publication Detail:
Type:  Journal Article     Date:  2010-11-11
Journal Detail:
Title:  Transplant international : official journal of the European Society for Organ Transplantation     Volume:  24     ISSN:  1432-2277     ISO Abbreviation:  Transpl. Int.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908516     Medline TA:  Transpl Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  e19-22     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Transplant International © 2010 European Society for Organ Transplantation.
Affiliation:
Liver Transplant Program and Department of Diagnostic Radiology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan  Liver Transplant Program and Department of Surgery, Chang Gung Memorial Hospital-Kaohsiung Medical Center, and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
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