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Percutaneous transhepatic embolization of an intrahepatic pseudoaneurysm following liver biopsy in a liver transplant patient

1993; Springer Science+Business Media; Volume: 6; Issue: 4 Linguagem: Inglês

10.1111/j.1432-2277.1993.tb00655.x

1432-2277

Hadar Merhav, Albert B. Zajko, Gerald D. Dodd, Antonio Pinna,

Renal Transplantation Outcomes and Treatments

Transplant InternationalVolume 6, Issue 4 p. 239-241 Percutaneous transhepatic embolization of an intrahepatic pseudoaneurysm following liver biopsy in a liver transplant patient HADAR Merhav, Corresponding Author HADAR Merhav Department of Surgery, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USAFf. Merhav, Oklahoma Transplantation Institute, Baptist Medical Center, 3300 N. W. Expressway, Oklahoma City, OK 73112-4481 USASearch for more papers by this authorALBERT B. Zajko, ALBERT B. Zajko Department of Radiology, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this authorGERALD D. Dodd, GERALD D. Dodd Department of Radiology, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this authorANTONIO Pinna, ANTONIO Pinna Department of Surgery, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this author HADAR Merhav, Corresponding Author HADAR Merhav Department of Surgery, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USAFf. Merhav, Oklahoma Transplantation Institute, Baptist Medical Center, 3300 N. W. Expressway, Oklahoma City, OK 73112-4481 USASearch for more papers by this authorALBERT B. Zajko, ALBERT B. Zajko Department of Radiology, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this authorGERALD D. Dodd, GERALD D. Dodd Department of Radiology, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this authorANTONIO Pinna, ANTONIO Pinna Department of Surgery, University of Pittsburgh, 3601 Fifth Avenue, Falk Clinic, Pittsburgh, PA 15213 USASearch for more papers by this author First published: July 1993 https://doi.org/10.1111/j.1432-2277.1993.tb00655.xCitations: 22AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Abstract A 41-year-old liver transplant patient had severe hemobilia from an intrahepatic pseudoaneurysm secondary to a liver biopsy. Selective intra-arterial embolization was not technically possible due to marked redundancy and tortuosity of the allograft hepatic artery. The pseudoaneurysm was localized by ultrasound and embolized using a direct percutaneous transhepatic approach. This is a novel way of approaching hemobilia in liver transplant patients after liver biopsy and may avoid the risks of arterial embolization. References 1 Lukancic SP, Nemcek AA, Vogelzang RL (1991) Post-traumatic intrahepatic arterial pseudoaneurysm: treatment with direct percutaneous puncture. J Vase Intervent Radiol 2, 335. 2 Okuda K., Musha H., Nakajima Y., Takayasu K., Suzuki Y., Morita M., Yamasaki T. (1978) Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology 74, 1204. 3 Rothbartl LJ, Redmon PL, Kumpe DA (1989) Percutaneous transhepatic treatment of a large intrahepatic aneurysm. A JR 153, 1077. 4 Zajko AB, Campbell WL, Logsdon GA, Bron KM, Tzakis A., Esquivel CO, Starzl TE (1988) Biliary complications in liver allografts after hepatic artery occlusion: a 61/2 year study. Transplant Proc 20, 607. 5 Zajko AB, Chablani V., Bron KM, Junreis C. (1990) Hemobilia complicating transhepatic catheter drainage in liver transplant recipients: management with selective embolization. Cardiovasc Intervent Radiol 13, 285. Citing Literature Volume6, Issue4July 1993Pages 239-241 ReferencesRelatedInformation