Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report

被引:2
作者
Huf, V. I. [1 ]
Grothues, D. [2 ]
Knoppke, B. [2 ]
Goessmann, H. [1 ]
Wohlgemuth, W. A. [3 ]
Melter, M. [2 ]
Brunner, S. M. [4 ]
Schlitt, H. J. [4 ]
Uller, W. [1 ,5 ]
机构
[1] Univ Hosp Regensburg, Dept Radiol, Franz Josef Strauss Allee 11, D-93053 Regensburg, Germany
[2] KUNO Univ, Childrens Hosp, Univ Hosp Regensburg, Franz Josef Strauss Allee 11, D-93053 Regensburg, Germany
[3] Univ Hosp Halle, Dept Radiol, Ernst Grube Str 40, D-06120 Halle, Germany
[4] Univ Hosp Regensburg, Dept Surg, Franz Josef Strauss Allee 11, D-93053 Regensburg, Germany
[5] Univ Freiburg, Med Ctr, Dept Diagnost Intervent Radiol, Fac Med, Hugstetter Str 55, D-79106 Freiburg, Germany
关键词
Pediatric liver transplantation; Percutaneous embolization; Pseudoaneurysm; MANAGEMENT;
D O I
10.1186/s42155-021-00221-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundIntrahepatic arterial pseudoaneurysms are a rare, life-threatening complication after pediatric liver transplantation. Treatment of choice represents interventional radiological management with endovascular embolization of the segmental artery proximal and distal to the aneurysm. However, this technique results in loss of arterial perfusion distal to the aneurysm with subsegment arterial ischemia.Case presentationWe report a case of a 1-year-old girl with a pseudoaneurysm in the split-liver graft. Direct percutaneous, transhepatic access to the pseudoaneurysm was performed followed by super selective coil application into the aneurysm.ConclusionSuper selective percutaneous, transhepatic coil application is feasible even in pediatric patients after liver transplantation and results in preservation of the entire course of the liver artery.
引用
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页数:3
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