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©2010 Baishideng. All rights reserved.
Post-traumatic hepatic artery pseudoaneurysm treated with endovascular embolization and thrombin injection
Lloret Estañ Francisco, Capel Alemán Antonio, Reus Pinado Manuel, Section of Vascular and Interventional Radiology, Department of Radiology, University General Hospital Virgen de la Arrixaca. Ctra Murcia-Cartagena, 30120 El Palmar, Murcia, Spain
López Conesa Asunción, Robles Campos Ricardo, Marín Hernández Caridad, Division of Hepatobiliary Surgery, Department of General Surgery, University General Hospital Virgen de la Arrixaca, Ctra Murcia-Cartagena, 30120 El Palmar, Murcia, Spain
Author contributions: Francisco LE, wrote the paper; Francisco LE, Antonio CA, and Manuel RP, performed the arteriography, the endovascular embolization and the percutaneous thrombin injection; Asunción LC, Ricardo RC, and Caridad MH, are the surgeons who performed the operations and followed up the patient.
Supported by Departments of Radiology and Surgery at University general hospital Virgen de la Arrixaca
Correspondence to: Lloret Estañ Francisco, MD, Radiology Department, Section of Vascular and Interventional Radiology, University General Hospital Virgen de la Arrixaca, 30120 El Palmar, Murcia, Spain. pakolloret13@hotmail.com
Telephone: +34-968-369366 Fax: +34-968-369347
Received: August 15, 2009
Revised: January 14, 2010
Accepted: January 21, 2010
Published online: February 27, 2010
Revised: January 14, 2010
Accepted: January 21, 2010
Published online: February 27, 2010
Abstract
Post-traumatic hepatic artery pseudoaneurysm is uncommon, appearing in approximately 1% of hepatic trauma cases. Most are extrahepatic (80%) and have a late onset. Although they are usually asymptomatic, they should always be treated becasue of the high risk of complications, especially breakage. Currently the treatment of choice is endovascular embolization with coils or the exclusion of the pseudoaneurysm using other intravascular devices. Recently there have been accounts of a treatment that combines embolization with coils and image-guided percutaneous human thrombin injection. We present a case of post-traumatic hepatic artery pseudoaneurysm that was successfully treated using this combined technique.
Keywords: Pseudoaneurysm, Hepatic trauma, Hepatic artery, Endovascular treatment, Thrombin