TITLE:
Percutaneous Embolization of a Hepatic Artery Pseudoaneurysm under Combined Angiographic and Fluoroscopic Guidance
AUTHORS:
Yama Kharoti, Khashayar Farsad
KEYWORDS:
Pseudoaneurysm Treatment, Thrombin, Interventional Radiology, Fluoroscopy, Angiography, Hepatic Artery
JOURNAL NAME:
Open Journal of Radiology,
Vol.4 No.2,
June
17,
2014
ABSTRACT: Hepatic
artery pseudoaneurysm is a rare complication of liver directed procedures.
Several strategies for treatment of pseudoaneurysms have
been described. We describe a challenging case in which a small bleeding
hepatic artery pseudoaneurysm is complicated by a proximal hepatic arterial
occlusion, preventing transcatheter access. The aneurysm was too small to be
seen on ultrasound. Using combined angiographic and fluoroscopic guidance,
however, the aneurysm was triangulated and successfully treated with
percutaneous direct thrombin injection. Combined angiography and fluoroscopy
guided percutaneous thrombin injection of intrahepatic pseudoaneurysms can be a
valuable treatment approach, particularly when other methods are not feasible
or have failed.