Endovascular management of hepatic artery pseudoaneurysm
Hepatic artery pseudoaneurysms (HAP) is a result of injury to the hepatic artery and must be treated due to its high risk of rupture. Endovascular treatment of pseudoaneurysm is effective and minimally invasive. We describe four cases of HAPs that presented with gastrointestinal (GI) bleed. The HAPs...
| Main Authors: | , , |
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| Format: | Article |
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Kulliyyah of Medicine, International Islamic University Malaysia
2019
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| Online Access: | http://psasir.upm.edu.my/id/eprint/79667/ |
| _version_ | 1848858731785224192 |
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| author | R., Marlina Tanty H., Hilwati M., A. Sobri |
| author_facet | R., Marlina Tanty H., Hilwati M., A. Sobri |
| author_sort | R., Marlina Tanty |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Hepatic artery pseudoaneurysms (HAP) is a result of injury to the hepatic artery and must be treated due to its high risk of rupture. Endovascular treatment of pseudoaneurysm is effective and minimally invasive. We describe four cases of HAPs that presented with gastrointestinal (GI) bleed. The HAPs developed as a consequence of surgery for carcinoma, infection, trauma due to motor-vehicle accident and biliary instrumentation. Diagnoses were made using CT and conventional angiography. Embolisations were done either to the pseudoaneurysm or the parent artery using glue, Onyx or coils via microcatheter systems. Postembolisation runs showed no opacification of the pseudoaneurysms and the GI bleed resolved with no recurrence. The final outcome differs according to each patient’s underlying illness. We highlight our experience in the endovascular management of HAP using various embolic agents and in particular, Onyx. To the best of our knowledge, this is the first reported case of Onyx embolization of HAP. |
| first_indexed | 2025-11-15T12:18:07Z |
| format | Article |
| id | upm-79667 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T12:18:07Z |
| publishDate | 2019 |
| publisher | Kulliyyah of Medicine, International Islamic University Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-796672023-02-08T07:33:02Z http://psasir.upm.edu.my/id/eprint/79667/ Endovascular management of hepatic artery pseudoaneurysm R., Marlina Tanty H., Hilwati M., A. Sobri Hepatic artery pseudoaneurysms (HAP) is a result of injury to the hepatic artery and must be treated due to its high risk of rupture. Endovascular treatment of pseudoaneurysm is effective and minimally invasive. We describe four cases of HAPs that presented with gastrointestinal (GI) bleed. The HAPs developed as a consequence of surgery for carcinoma, infection, trauma due to motor-vehicle accident and biliary instrumentation. Diagnoses were made using CT and conventional angiography. Embolisations were done either to the pseudoaneurysm or the parent artery using glue, Onyx or coils via microcatheter systems. Postembolisation runs showed no opacification of the pseudoaneurysms and the GI bleed resolved with no recurrence. The final outcome differs according to each patient’s underlying illness. We highlight our experience in the endovascular management of HAP using various embolic agents and in particular, Onyx. To the best of our knowledge, this is the first reported case of Onyx embolization of HAP. Kulliyyah of Medicine, International Islamic University Malaysia 2019 Article PeerReviewed R., Marlina Tanty and H., Hilwati and M., A. Sobri (2019) Endovascular management of hepatic artery pseudoaneurysm. International Medical Journal Malaysia, 18 (1). pp. 117-122. ISSN 1823-4631 https://journals.iium.edu.my/kom/index.php/imjm/article/view/218 10.31436/imjm.v18i1.218 |
| spellingShingle | R., Marlina Tanty H., Hilwati M., A. Sobri Endovascular management of hepatic artery pseudoaneurysm |
| title | Endovascular management of hepatic artery pseudoaneurysm |
| title_full | Endovascular management of hepatic artery pseudoaneurysm |
| title_fullStr | Endovascular management of hepatic artery pseudoaneurysm |
| title_full_unstemmed | Endovascular management of hepatic artery pseudoaneurysm |
| title_short | Endovascular management of hepatic artery pseudoaneurysm |
| title_sort | endovascular management of hepatic artery pseudoaneurysm |
| url | http://psasir.upm.edu.my/id/eprint/79667/ http://psasir.upm.edu.my/id/eprint/79667/ http://psasir.upm.edu.my/id/eprint/79667/ |