Dergiler / Diagnostic and Interventional Radiology / 2015 / Cilt: 21 - Sayı: 6

Imaging findings and endovascular management of iatrogenic hepatic arterial injuries

Sayfa
494–497
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Endovascular treatment is a safe and minimally invasive treatment option with high success rates.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Iatrogenic hepatic arterial injuries (IHAIs) include pseudoaneurysm, extravasation, arteriovenous fistula, arteriobiliary fistula, and dissection.
📊
Temel Bulgular & Veri:IHAIs are usually demonstrated following percutaneous transhepatic biliary drainage, percutaneous liver biopsy, liver surgery, chemoembolization, radio-embolization, and endoscopic retrograde cholangiopancreatography.
💡
Sonuç & Katkı:Endovascular treatment is a safe and minimally invasive treatment option with high success rates.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Iatrogenic hepatic arterial injuries (IHAIs) include pseudoaneurysm, extravasation, arteriovenous fistula, arteriobiliary fistula, and dissection. IHAIs are usually demonstrated following percutaneous transhepatic biliary drainage, percutaneous liver biopsy, liver surgery, chemoembolization, radio-embolization, and endoscopic retrograde cholangiopancreatography. The latency period between the intervention and diagnosis varies. The most common symptom is hemorrhage, and the most common lesion is pseudoaneurysm. Computed tomography angiography (CTA) is mostly per-formed prior to angiography, and IHAIs are demonstrated on CTA in most of the patients. Patients with IHAI are mostly treated by coils, but some patients may be treated by liquid embolic materials or stent-grafts. CTA can also be used in the follow-up period. Endovascular treatment is a safe and minimally invasive treatment option with high success rates.

🔖

Bu Makaleye Atıf Yap

GÜNEYLİ, S., GÖK, M., ÇINAR, C., BOZKAYA, H., KORKMAZ, M., PARILDAR, M., ORAN, İ. (2015). Imaging findings and endovascular management of iatrogenic hepatic arterial injuries. Diagnostic and Interventional Radiology, Cilt: 21 - Sayı: 6, 494–497. https://ajindex.com/articles/350120

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (2)

  1. Choi SH, Gwon DI, Ko GY, et al. Hepatic arterial injuries in 3110 patients following percutane- ous transhepatic biliary drainage. Radiology; 261:969-975. [CrossRef] Tessier DJ, Fowl RJ, Stone WM, et al. Iatrogenic hepatic artery pseudoaneurysms: an uncom- mon complication after hepatic, biliary, and pancreatic procedures. Ann Vasc Surg 2003;:663-669. [CrossRef] Saad WE, Dasgupta N, Lippert AJ, et al. Extra- hepatic pseudoaneurysms and ruptures of the hepatic artery in liver transplant recipients: en- dovascular management and a new iatrogenic etiology. Cardiovasc Intervent Radiol 2013;:118-127. [CrossRef] Basile A, Lupattelli T, Giulietti G, et al. Interven- tional treatment of iatrogenic lesions and he- patic arteries. Radiol Med 2005; 110:88-96.
  2. Christensen T, Matsuoka L, Heestand G, et al. Iatrogenic pseudoaneurysms of the extra- hepatic arterial vasculature: management and outcome. HPB (Oxford) 2006; 8:458-464. CrossRef] Schick C, Ritter RG, Balzer JO, Thalhammer A, Vogl TJ. Hepatic artery aneurysm: treatment options. Eur Rad 2004; 14:157-159. [CrossRef] Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics 2005; 25:173- [CrossRef] Reber PU, Baer HU, Patel AG, Wildi S, Triller J, Büchler MW. Superselective microcoil em- bolization: treatment of choice in high-risk patients with extrahepatic pseudoaneurysms of the hepatic arteries. J Am Coll Surg 1998;:325-330. [CrossRef] Kumar A, Ahuja CK, Vyas S, et al. Hepatic arte- riovenous fistulae: role of interventional radiol- ogy. Dig Dis Sci 2012; 57:2703-2712.[CrossRef] Gurakuqi GC, Stadlbauer V, Portugaller HR, Hö- genauer C, Trauner M, Stauber RE. Fatal hemo- bilia resulting from an iatrogenic arteriobiliary fistula as a rare complication of transjugular liver biopsy. Eur J Gastroenterol Hepatol 2008;:83-86. [CrossRef] Kumar M, Gupta S, Soin A, Nundy S. Manage- ment of massive haemobilia in an Indian hospi- tal. Indian J Surg 2008; 70:288-295. [CrossRef] Carrafiello G, Laganà D, Dizonno M, Cotta E, Ianniello A, Fugazzola C. Emergency percuta- neous treatment in iatrogenic hepatic arte- rial injuries. Emerg Radiol 2008; 15:249-254. CrossRef] Ozkan OS, Walser EM, Akinci D, Nealon W, Goo- dacre B. Guglielmi detachable coil erosion into the common bile duct after embolization of iat- rogenic hepatic artery pseudoaneurysm. J Vasc Interv Radiol 2002; 13:935-938. [CrossRef] Messina LM, Shanley CJ. Viscer