Hemorrhage from a right hepatic artery pseudoaneurysm: Endovascular treatment with a coronary stent-graft

Massimo Venturini, Enzo Angeli, Marco Salvioni, Francesco De Cobelli, Chiara Trentin, Michele Carlucci, Carlo Staudacher, Alessandro Del Maschio

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report a novel case demonstrating the successful endovascular treatment of a right hepatic artery pseudoaneurysm using a balloon-expandable coronary stent-graft. Case Report: A 60-year-old woman underwent surgical treatment for a Klatskin tumor, but her postoperative course was complicated by serious blood loss. An emergent celiac angiogram through a right transfemoral approach demonstrated a small iatrogenic pseudoaneurysm in the proximal right hepatic artery. A 7-F guiding catheter was positioned at the origin of the celiac trunk, and a Jostent coronary stent-graft mounted on a 2.7-F, 4-mm × 30-mm balloon catheter was successfully placed across the aneurysm neck. The final angiogram demonstrated total exclusion of the pseudoaneurysm with preservation of the arterial lumen. The hemodynamic condition of the patient became stable. At 12-month follow-up, duplex scanning confirmed regular right hepatic artery patency and absence of thrombotic tissue or signs of infection around the stent-graft. Conclusions: For hepatic artery pseudoaneurysms, endovascular repair using small covered stents may be a viable alternative to transcatheter embolization. The use of coronary instruments facilitates treatment of vascular lesions in small caliber visceral vessels.

Original languageEnglish
Pages (from-to)221-224
Number of pages4
JournalJournal of Endovascular Therapy
Volume9
Issue number2
DOIs
Publication statusPublished - 2002

Keywords

  • Arterial rupture
  • Iatrogenic injury
  • Jostent coronary stent-graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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