Endovascular Management of Hepatic Artery Pseudoaneurysm

Sigdel, Abindra; Morris, Marvin E.; Yancey, Andrea E.; Dwivedi, Amit J.

doi:10.1177/000313481207801239

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…We found 97 eligible studies and a sum of 134 patients who presented with at least one symptomatic PA following LC during a 26-year period (1994–2020). [ 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 …”

Section: Resultsmentioning

confidence: 99%

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy

Lampropoulos

Markopoulos²,

Tsochatzis

et al. 2021

Journal of Minimal Access Surgery

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Background: Laparoscopic cholecystectomy (LC) has been associated with an increase in the incidence of biliary and vascular injuries. Pseudoaneurysms (PAs) following LC are rare life-threatening events with limited available experience regarding diagnosis and treatment. Materials and Methods: An extensive review of literature during a 26-year period (1994–2020) using MEDLINE ® database and Google Scholar ® academic search engine revealed 134 patients with at least one symptomatic PA following LC. Results: Nearly 81% of patients with PAs become symptomatic during the first 8 weeks following LC. The most common symptoms were gastrointestinal bleeding (74%) and abdominal pain (61%). In 28% of cases, there was a concomitant bile duct injury or leak from the cystic duct stump, whereas in about one-third of cases, PAs presented following an uneventful LC. The most common involved arteries were the right hepatic artery (70%), the cystic artery (19%) or both of them (3%). Trans-arterial embolisation was the favoured first-line treatment with a success rate of 83%. During a median follow-up of 9 months, the mortality rate was 7%. Conclusion: Clinicians should be aware of the PA occurrence following LC. Prompt diagnosis and treatment are essential.

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Section: Resultsmentioning

confidence: 99%

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy

Lampropoulos

Markopoulos²,

Tsochatzis

et al. 2021

Journal of Minimal Access Surgery

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“…Treatment options for either common or proper hepatic artery pseudo-aneurysms includes surgical or endovascular therapy. In the case of intrahepatic pseudo-aneurysms, excellent results have been reported with endovascular treatment [20] . In our case, remarkably is the fact that this patient had or developed arterial communicants from left to right liver, which fed the pseudo-aneurysm to bleed, since right hepatic artery was previously ligated.…”

Section: Discussionmentioning

confidence: 99%

Emergency right hepatectomy after laparoscopic tru-cut liver biopsy

Quezada

León

Martínez

et al. 2015

International Journal of Surgery Case Reports

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Hepatic transplantation: postoperative complications

2013

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Advances in surgical techniques and immunosuppression have made orthotopic liver transplantation a first-line treatment for many patients with end-stage liver disease. The early detection and treatment of postoperative complications has contributed significantly to improved graft and patient survival with imaging playing a critical role in detection. Complications that can lead to graft failure or patient mortality include vascular abnormalities, biliary abnormalities, allograft rejection, and recurrent or post-transplant malignancy. Vascular abnormalities include stenosis and thrombosis of the hepatic artery, portal vein, and inferior vena cava, as well as hepatic artery pseudoaneurysm, arteriovenous fistula, and celiac stenosis. Biliary abnormalities include strictures, bile leak, obstruction, recurrent disease, and infection. While imaging is not used to diagnose allograft rejection, it plays an important role in identifying complications that can mimic rejection. Ultrasound is routinely performed as the initial imaging modality for the detection and follow-up of both early and delayed complications. Cholangiography and magnetic resonance cholangiopancreatography are used to characterize biliary complications and computed tomography is used to confirm abnormal findings on ultrasound or for the evaluation of postoperative collections. The purpose of this article is to describe and illustrate the imaging appearances and management of complications associated with liver transplantation.

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Endovascular Management of Hepatic Artery Pseudoaneurysm

Cited by 3 publications

References 3 publications

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy

Symptomatic pseudoaneurysms following laparoscopic cholecystectomy

Emergency right hepatectomy after laparoscopic tru-cut liver biopsy

Hepatic transplantation: postoperative complications

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