Interventional radiology treatment of hepatic artery pseudoaneurysm following liver transplantation

doi:10.3877/cma.j.issn.2095-5782.2014.04.004

Abstract

Abstract:

Objective

To explore the value of interventional radiology treatment for hepatic artery pseudoaneurysm following liver transplantation.

Methods

All of 5 patients with hepatic artery pseudoaneurysn had interventional radiology treatment. The clinical features, imaging examinations, complications of interventional treatment and outcome were reviewed.

Results

A total of 2 patients were intrahepatic pseudoaneurysm and had cover-stent treatment, 3 patients were extrahepatic pseudoaneurysm and had embolized treatment. All 5 hepatic artery pseudoaneurysm patients had successfully treatment. No complications related interventional radiology treatment were occurred.

Conclusions

The intervenetional radiology treatment is an effective and safe treatment for heaptic artery pseudoneurysm following liver transplations.

Key words: Liver transplantation, Hepatic artery pseudoaneurysm, Radiology, interventional

Guang Chen, Haijun Gao, Hao Wang, Lianfang Wen, Penghui Wang, Yixin Yang. Interventional radiology treatment of hepatic artery pseudoaneurysm following liver transplantation[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2014, 02(04): 12-14.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2014.04.004

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Figures/Tables 4

References 10

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编号	性别	年龄(岁)	原发病	肝动脉吻合方式	移植后相关病史
1	男	39	乙肝肝硬化	端端吻合	肝脓肿，穿刺引流
2	男	64	乙肝肝硬化	端端吻合	门静脉狭窄，经皮经肝内支架治疗
3	男	54	乙肝肝硬化	端侧吻合	胆漏
4	女	53	原发胆汁性肝硬化	端端吻合	无
5	男	43	原发性肝癌	端端吻合	胆漏

编号	性别	年龄(岁)	原发病	肝动脉吻合方式	移植后相关病史
1	男	39	乙肝肝硬化	端端吻合	肝脓肿，穿刺引流
2	男	64	乙肝肝硬化	端端吻合	门静脉狭窄，经皮经肝内支架治疗
3	男	54	乙肝肝硬化	端侧吻合	胆漏
4	女	53	原发胆汁性肝硬化	端端吻合	无
5	男	43	原发性肝癌	端端吻合	胆漏

编号	临床表现	动脉瘤部位	介入治疗方法	介入治疗并发症	随访时间(月)	预后
1	腹痛、出血、发热	肝内	介入栓塞	无	6	良好
2	腹痛、出血	肝内	介入栓塞	无	24	良好
3	腹痛、出血	肝外	介入栓塞	无	1	死亡
4	无症状	肝外	覆膜支架	无	24	良好
5	腹痛、出血	肝外	覆膜支架	无	1	死亡

编号	临床表现	动脉瘤部位	介入治疗方法	介入治疗并发症	随访时间(月)	预后
1	腹痛、出血、发热	肝内	介入栓塞	无	6	良好
2	腹痛、出血	肝内	介入栓塞	无	24	良好
3	腹痛、出血	肝外	介入栓塞	无	1	死亡
4	无症状	肝外	覆膜支架	无	24	良好
5	腹痛、出血	肝外	覆膜支架	无	1	死亡

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