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01.06.2015 | Case Report

Flow-preserved coil embolization using a side-holed indwelling catheter for common hepatic artery pseudoaneurysm: report of three cases

verfasst von: Ryota Kawasaki, Naokazu Miyamoto, Haruka Oki, Takuya Okada, Masato Yamaguchi, Takashi Gomi, Takanori Higashino, Tetsuo Washio, Tsutomu Maruta, Kazuro Sugimura, Koji Sugimoto

Erschienen in: Surgery Today | Ausgabe 6/2015

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Abstract

We report three cases of hepatic artery pseudoaneurysm, which were all treated successfully using a combination of coil embolization and a side-holed 5F indwelling catheter for maintaining minimal hepatic artery blood flow with exclusion of the pseudoaneurysm. The tip of an infusion catheter was placed in the right hepatic artery and a side hole was positioned at the celiac axis. Coil embolization was then performed from the proper to the common hepatic artery using detachable coils. Hemostasis was achieved in all patients, with a final angiogram showing the hepatic arteries through the indwelling catheter. One major hepatic infarction and one focal liver abscess caused by reflux cholangitis manifested on postoperative days (PODs) 11 and 87, respectively. All patients survived and the indwelling catheter was removed on POD 136–382 without complication.

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Titel: Flow-preserved coil embolization using a side-holed indwelling catheter for common hepatic artery pseudoaneurysm: report of three cases
verfasst von: Ryota Kawasaki
Naokazu Miyamoto
Haruka Oki
Takuya Okada
Masato Yamaguchi
Takashi Gomi
Takanori Higashino
Tetsuo Washio
Tsutomu Maruta
Kazuro Sugimura
Koji Sugimoto
Publikationsdatum: 01.06.2015
Verlag: Springer Japan
Erschienen in: Surgery Today / Ausgabe 6/2015
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-014-0976-3

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Flow-preserved coil embolization using a side-holed indwelling catheter for common hepatic artery pseudoaneurysm: report of three cases

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