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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 2/2005

01-04-2005 | CASE REPORT

Stent-Graft Treatment of Patients with Acute Bleeding from Hepatic Artery Branches

Authors: Parag Rami, David Williams, Andrew Forauer, Wojciech Cwikiel

Published in: CardioVascular and Interventional Radiology | Issue 2/2005

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Abstract

Purpose

To present a new treatment option in patients with acute bleeding from the hepatic artery branches.

Methods

Four male patients, 23–49 years old (mean 36.3 years), were treated for acute bleeding and subsequent transient hypotension. Bleeding episodes were secondary to hepatic artery pseudoaneurysms in two patients and surgical suture insufficiency in one patient. In the remaining patient, anastomotic leakage occurred following thrombolysis for hepatic artery thrombosis. Patients were treated by endovascular placement of one or two balloon-expandable stent-grafts, ranging from 17 to 28 mm in length.

Results

All procedures were carried out without serious complications. All stent-grafts were deployed in the intended position with immediate cessation of bleeding and initial preservation of satisfactory blood flow.

Conclusions

Bleeding from the hepatic artery can be treated by insertion of balloon-expandable stent-grafts in the acute setting.
Literature
1.
Miyamoto, N, Kodama, Y, Endo, H, Shimizu, T, Miyasaka, K 2003Hepatic artery embolization for postoperative hemorrhage in upper abdominal surgeryAbdom Imaging28347353CrossRef
2.
Hirsch, M, Avinoach, I, Keynan, A, Khodadadi, J 1982Angiographic diagnosis and treatment of hemobiliaRadiology144771772CrossRef
3.
Darcy, M 2003Treatment of lower gastrointestinal bleeding: vasopressin infusion versus embolizationJ Vasc Interv Radiol14535543CrossRef
4.
Funaki, B 2002Endovascular intervention for the treatment of acute arterial gastrointestinal hemorrhageGastroenterol Clin North Am31701713CrossRef
5.
Schenker, MP, Duszak, R,Jr, Soulen, MC, Smith, KP, Baum, RA, Cope, C, Freiman, DB, Roberts, DA, Shlansky-Goldberg, RD 2001Upper gastrointestinal hemorrhage and transcatheter embolotherapy: Clinical and technical factors impacting success and survivalJ Vasc Interv Radiol1212631271CrossRef
6.
Lumsden, AB, Mattar, SG, Allen, RC, Bacha, EA 1996Hepatic artery aneurysms: The management of 22 patientsJ Surg Res60345350CrossRef
7.
Yamakado, K, Nakatsuka, A, Tanaka, N, Takano, K, Matsumura, K, Takeda, K 2000Transcatheter arterial embolization of ruptured pseudoaneurysms with coils and n-butyl cyanoacrylateJ Vasc Interv Radiol116672CrossRef
8.
Beregi, JP, Prat, A, Willoteaux, S, Vasseur, MA, Boularand, V, Desmoucelle, F 1999Covered stents in the treatment of peripheral arterial aneurysms Procedural resultsCardiovasc Intervent Radiol221319CrossRef
9.
Hilfiker, PR, Razavi, MK, Kee, ST, Sze, DY, Semba, CP, Dake, MD 2000Stent-graft therapy for subclavian artery aneurysms and fistulas: Single-center mid-term resultsJ Vasc Interv Radiol11578584CrossRef
10.
Xenos, ES, Freeman, M, Stevens, S, Cassada, D, Pacanowski, J, Goldman, M 2003Covered stents for injuries of subclavian and axillary arteriesJ Vasc Surg38451454CrossRef
11.
Bruce, M, Kuan, YM 2002Endoluminal stent-graft repair of a renal artery aneurysmJ Endovasc Ther9359362PubMed
12.
Morris, CS, Bonnevie, GJ, Najarian, KE 2001Nonsurgical treatment of acute iatrogenic renal artery injuries occurring after renal artery angioplasty and stentingAJR Am J Roentgenol17713531357CrossRef
13.
Thalhammer, C, Kirchherr, AS, Uhlich, F, Waigand, J, Gross, CM 2000Postcatheterization pseudoaneurysms and arteriovenous fistulas: Repair with percutaneous of endovascular covered stentsRadiology214127131CrossRef
14.
Schachinger, V Hamm, CW Munzel, T Haude, M Baldus, S Grube, E Bonzel, T Konorza, T Koster, R Arnold, R Haase, J Probst, P vom Dahl, J Neumann, FJ Mudra, H Hennen, B Thiele, L Zeiher, AM STENTS (STents IN Grafts) Investigators2003A randomized trial of polytetrafluoroethylene-membrane-covered stents compared with conventional stents in aortocoronary saphenous vein graftsJ Am Coll Cardiol4213601369CrossRef
15.
Stankovic, G, Colombo, A, Presbitero, P, Branden, F, Inglese, L, Cernigliaro, C, Niccoli, L, Bartorelli, AL, Rubartelli, P, Reifart, N, Heyndrickx, GR, Saunamaki, K, Morice, MC, Sgura, FA, Di Mario, C 2003Randomized evaluation of polytetrafluoroethylene-covered stent in saphenous vein grafts: The Randomized Evaluation of polytetrafluoroethylene COVERed stent in Saphenous vein grafts (RECOVERS) TrialCirculation1083742CrossRef
16.
Baltacioglu, F, Cimcedilit, NC, Cil, B, Cekirge, S, Ispir, S 2003Endovascular stent-graft applications in iatrogenic vascular injuriesCardiovasc Intervent Radiol26434439CrossRef
17.
Angermayr, B Cejna, M Koenig, F Karnel, F Hackl, F Gangl, A Peck-Radosavljevic, M Vienna TIPS Study Group2003Survival in patients undergoing transjugular intrahepatic portosystemic shunt: ePTFE-covered stentgrafts versus bare stentsHepatology3810431050CrossRef
18.
Venturini, M, Angeli, E, Salvioni, M, Cobelli, F, Trentin, C, Carlucci, M, Staudacher, C, Maschio, A 2002Hemorrhage from a right hepatic artery pseudoaneurysm: Endovascular treatment with a coronary stent-graftJ Endovasc Ther9221224CrossRef
19.
Vivarelli, M, La Barba, G, Legnani, C, Cucchetti, A, Bellusci, R, Palareti, G, Cavallari, A 2003Repeated graft loss caused by recurrent hepatic artery thrombosis after liver transplantationLiver Transplant9629631CrossRef
Metadata
Title
Stent-Graft Treatment of Patients with Acute Bleeding from Hepatic Artery Branches
Authors
Parag Rami
David Williams
Andrew Forauer
Wojciech Cwikiel
Publication date
01-04-2005
Publisher
Springer New York
Published in
CardioVascular and Interventional Radiology / Issue 2/2005
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-004-0056-y

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