Document Detail


Hepatic artery pseudoaneurysm treated using stent-graft implantation and retrograde gastroduodenal artery coil embolization.
MedLine Citation:
PMID:  18504590     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular treatment options for visceral artery pseudoaneurysms depend on lesion location and size. Exclusion methods fall into two categories, embolization and stent placement, and these procedures aim to exclude the pseudoaneurysm from the circulation and if possible to maintain distal blood flow. Embolization of the afferent artery can be used in pseudoaneurysms that arise from a donor artery without collateral supply such as a visceral branch, whereas in the case of visceral arteries with well-established collateral supply, the embolization of both proximal and distal branches to the pseudoaneurysm is mandatory in preventing backflow from the collateral circulation. A direct embolization delivering coils or glue into the sac can also be performed if the aneurismal neck is narrow. Stent-graft placement represents another option to exclude the pseudoaneurysm, in the case of wide neck, reduced arterial tortuosity and large-diameter arteries. We present a case of common hepatic artery pseudoaneurysm involving the gastroduodenal artery origin treated by a combination of techniques. An hepatic stent-graft implantation plus retrograde embolization of the gastroduodenal artery through the pancreaticoduodenal anastomosis from the superior mesenteric artery was performed.
Authors:
Antonio Basile; Salvatore Ragazzi; Diego Piazza; Dimitrios Tsetis; Tommaso Lupattelli; Maria Teresa Patti
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-27
Journal Detail:
Title:  European radiology     Volume:  18     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-13     Completed Date:  2009-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  2579-81     Citation Subset:  IM    
Affiliation:
Department of Diagnostic and Interventional Radiology, Ospedale Ferrarotto, Catania, Italy. antodoc@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, False / diagnosis*,  therapy*
Blood Vessel Prosthesis*
Combined Modality Therapy
Embolization, Therapeutic / instrumentation*,  methods
Hepatic Artery / radiography,  surgery*,  ultrasonography
Humans
Male
Stents*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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