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Post-traumatic hepatic artery pseudoaneurysm treated with endovascular embolization and thrombin injection

Post-traumatic hepatic artery pseudoaneurysm treated with endovascular embolization and thrombin injection

作     者:Lloret Esta Francisco López Conesa Asunción Capel Alemán Antonio Robles Campos Ricardo Reus Pintado Manuel Marín Hernández Caridad 

作者机构:Section of Vascular and Interventional Radiology Department of RadiologyUniversity General Hospital Virgen de la Arrixaca.Ctra Murcia-Cartagena30120 El PalmarMurcia Spain Division of Hepatobiliary SurgeryDepart-ment of General SurgeryUniversity General Hospital Virgen de la ArrixacaCtra Murcia-Cartagena30120 El PalmarMurcia Spain 

出 版 物:《World Journal of Hepatology》 (世界肝病学杂志(英文版)(电子版))

年 卷 期:2010年第2卷第2期

页      面:87-90页

学科分类:1002[医学-临床医学] 10[医学] 

基  金:Supported by Departments of Radiology and Surgery at University general hospital Virgen de la Arrixaca 

主  题:Pseudoaneurysm Hepatic trauma Hepatic artery Endovascular treatment Thrombin 

摘      要:Post-traumatic hepatic artery pseudoaneurysm is unc-ommon,appearing in approximately 1%of hepatic trauma cases.Most are extrahepatic(80%)and have a late onset.Although they are usually asymptomatic, they should always be treated becasue of the high risk of complications,especially breakage.Currently the treatment of choice is endovascular embolization with coils or the exclusion of the pseudoaneurysm using other intravascular devices.Recently there have been accounts of a treatment that combines embolization with coils and image-guided percutaneous human thrombin injection.We present a case of post-traumatichepatic artery pseudoaneurysm that was successfully treated using this combined technique.

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