| Hepatic arterial embolization for massive bleeding from an intrahepatic artery pseudoaneurysm using N-butyl-2-cyanoacrylate after living donor liver transplantation. | |
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MedLine Citation:
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PMID: 21070387 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2010-11-11 |
Journal Detail:
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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:
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Created Date: 2011-02-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8908516 Medline TA: Transpl Int Country: England |
Other Details:
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Languages: eng Pagination: e19-22 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Transplant International © 2010 European Society for Organ Transplantation. |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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