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Embolization of hemorrhage from a ruptured hepatocellular carcinoma via the false lumen of an aortic dissection using transradial access
Author(s) -
Swersky Adam,
Mohan Prasoon
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14705
Subject(s) - medicine , hepatocellular carcinoma , radiology , embolization , aortic dissection , lumen (anatomy) , surgery , dissection (medical) , aorta
Background and Aims Transcatheter arterial embolization (TAE) has been repeatedly shown as an effective method of controlling acute hemorrhage. Arterial access for TAE in the emergent setting is typically trans‐femoral, though other routes are routinely used. The presence of abnormal vasculature such as an aortic dissection increases the difficulty of TAE. Case Report This report details a case of acute hemorrhage likely from a ruptured hepatocellular carcinoma in which the celiac artery originated from the false lumen of a type B aortic dissection. Conclusion The false lumen was catheterized via left radial artery access and the bleeding hepatic arterial branch was successfully embolized.