Open AccessPost-traumatic hepatic artery pseudoaneurysm treated with endovascular embolization and thrombin injection
Author(s) -
Lloret Estañ Francisco,
López Conesa Asunción,
Capel Alemán Antonio,
Robles Campos Ricardo,
Reus Pintado Manuel,
Marín Hernández Caridad
Publication year - 2010
Publication title -
world journal of hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.913
H-Index - 55
ISSN - 1948-5182
DOI - 10.4254/wjh.v2.i2.87
Subject(s) - medicine , pseudoaneurysm , embolization , asymptomatic , percutaneous , radiology , artery , surgery , thrombin , aneurysm , platelet
Post-traumatic hepatic artery pseudoaneurysm is uncommon, appearing in approximately 1% of hepatic trauma cases. Most are extrahepatic (80%) and have a late onset. Although they are usually asymptomatic, they should always be treated becasue of the high risk of complications, especially breakage. Currently the treatment of choice is endovascular embolization with coils or the exclusion of the pseudoaneurysm using other intravascular devices. Recently there have been accounts of a treatment that combines embolization with coils and image-guided percutaneous human thrombin injection. We present a case of post-traumatic hepatic artery pseudoaneurysm that was successfully treated using this combined technique.