Intrahepatic arterioportal fistula and its treatment with detachable balloon and transcatheter embolization with coils and microspheres

被引:24
作者
Tasar, M
Gulec, B
Bozlar, U
Saglam, M
Ugurel, MS
Ucoz, T
机构
[1] Gulhane Mil Med Acad, Dept Radiol, Ankara, Turkey
[2] Gulhane Mil Med Acad, Dept Gen Surg, Ankara, Turkey
关键词
arterioportal fistula; liver; transcatheter ernbolization; polyvinyl alcohol; coil; detachable balloon; portal hypertension;
D O I
10.1016/j.clinimag.2004.11.023
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Background: Although intrahepatic arterioportal fistula (APF) due to acquired or congenital causes are infrequent, they are listed among the causes of portal hypertension. Purpose: The aim of this study was to present the results of intrahepatic APF treatment with embolotherapy in six cases. Material and methods: Transarterial detachable balloon and coil embolization was used on six consecutive cases with traumatic intrahepatic APF from 1989 to 2003. Six-month follow-Lip angiography was obtained in every case. Results: Successful disconnection of hepatic arterial and portal system was achieved in five cases. At least symptomatic improvement was achieved in one. Conclusion: Transcatheter embolization may be the first line of treatment for intrahepatic APF. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:325 / 330
页数:6
相关论文
共 25 条
[1]   SUCCESSFUL TRANSCATHETER EMBOLIC CONTROL OF SIGNIFICANT ARTERIOPORTAL FISTULA - A SERIOUS COMPLICATION OF LIVER-BIOPSY [J].
AGHA, FP ;
RAJI, MR .
BRITISH JOURNAL OF RADIOLOGY, 1983, 56 (664) :277-280
[2]   High-flow arterioportal fistula:: treatment with detachable balloon occlusion [J].
Akpek, S ;
Ilgit, ET ;
Çekirge, S ;
Yücel, C .
ABDOMINAL IMAGING, 2001, 26 (03) :277-280
[3]   HEPATIC ARTERIOPORTAL FISTULA RELATED TO A LIVER-BIOPSY [J].
BAER, JW .
GASTROINTESTINAL RADIOLOGY, 1977, 2 (03) :297-299
[4]   COMPLICATIONS OF DETACHABLE BALLOON CATHETER TECHNIQUE IN THE TREATMENT OF TRAUMATIC INTRA-CRANICAL ARTERIOVENOUS-FISTULAS [J].
BARROW, DL ;
FLEISCHER, AS ;
HOFFMAN, JC .
JOURNAL OF NEUROSURGERY, 1982, 56 (03) :396-403
[5]   IATROGENIC INTRAHEPATIC ARTERIAL-PORTAL FISTULA [J].
BEDELL, JE ;
KELLER, FS ;
ROSCH, J .
RADIOLOGY, 1984, 151 (01) :79-80
[6]   Arterioportal fistulas in patients with liver cirrhosis: Usefulness of color Doppler US for screening [J].
Bolognesi, M ;
Sacerdoti, D ;
Bombonato, G ;
Chiesura-Corona, M ;
Merkel, C ;
Gatta, A .
RADIOLOGY, 2000, 216 (03) :738-743
[7]   Endovascular treatment of an unusual arterioportal fistula caused by the rupture of a giant hepatic artery aneurysm into the superior mesenteric vein in Behcet disease [J].
Cekirge, S ;
Gülsün, M ;
Oto, A ;
Dogan, R ;
Balkanci, F ;
Besim, A .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2000, 11 (04) :465-467
[8]  
Chavan A, 1993, Bildgebung, V60, P215
[9]   Coil embolization of hepatoportal arteriovenous fistula in a neonate [J].
Cheung, YF ;
Leung, MP .
CLINICAL CARDIOLOGY, 1999, 22 (10) :675-676
[10]   Detachable balloon embolization of an aneurysmal gastroduodenal arterioportal fistula [J].
Defreyne, L ;
De Schrijver, I ;
Vanlangenhove, P ;
Kunnen, M .
EUROPEAN RADIOLOGY, 2002, 12 (01) :231-236