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Transcatheter Arterial Embolization for Hepatic Arterial Injury Related to Percutaneous Transhepatic Portal Intervention

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Abstract

Purpose

To assess the usefulness of transcatheter arterial embolization (TAE) for the hepatic arterial injury related to percutaneous transhepatic portal intervention (PTPI).

Materials and Methods

Fifty-four patients, 32 males and 22 females with a median age of 68 years (range 43–82 years), underwent PTPI. The procedures consisted of 33 percutaneous transhepatic portal vein embolizations, 19 percutaneous transhepatic variceal embolizations, and 2 percutaneous transhepatic portal venous stent placements. Two patients with gastric varices underwent percutaneous transhepatic variceal embolization twice because of recurrence. Therefore, the total number of procedures was 56. Among them, hepatic arterial injury occurred in 6 PTPIs in 5 patients, and TAE was performed. We assessed technical success, complications related to TAE, and clinical outcome. Technical success was defined as the disappearance of findings due to hepatic arterial injury on digital subtraction angiography.

Results

As hepatic arterial injuries, 4 extravasations and 2 arterioportal shunts developed. All TAEs were performed successfully. The technical success rate was 100 %. Complication of TAE occurred in 5 of 6 TAEs; 3 were focal liver infarction, not requiring further treatment, and 2 were biloma that required percutaneous drainage. Five TAEs in 4 patients were performed immediately after the PTPI, and these 4 patients were alive. However, one TAE was performed 10 h later, and the patient died due to multiple organ failure 2 months later although TAE was successful.

Conclusion

TAE is a useful treatment for hepatic arterial injury related to PTPI. However, it should be performed at an early stage.

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Authors and Affiliations

  1. Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601, Japan

    Masashi Shimohira, Takuya Hashizume, Kengo Ohta, Kazushi Suzuki, Motoo Nakagawa, Yoshiyuki Ozawa, Keita Sakurai, Hiroko Nishikawa & Yuta Shibamoto

  2. Department of Radiology, Nagoya City West Medical Center, Nagoya, 462-8508, Japan

    Shigeru Sasaki & Masaki Hara

Authors
  1. Masashi Shimohira
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  2. Takuya Hashizume
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  3. Shigeru Sasaki
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  4. Kengo Ohta
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  5. Kazushi Suzuki
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  6. Motoo Nakagawa
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  7. Yoshiyuki Ozawa
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  8. Keita Sakurai
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  9. Hiroko Nishikawa
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  10. Masaki Hara
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  11. Yuta Shibamoto
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Corresponding author

Correspondence to Masashi Shimohira.

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Conflict of Interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Shimohira, M., Hashizume, T., Sasaki, S. et al. Transcatheter Arterial Embolization for Hepatic Arterial Injury Related to Percutaneous Transhepatic Portal Intervention. Cardiovasc Intervent Radiol 40, 291–295 (2017). https://doi.org/10.1007/s00270-016-1471-6

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  • DOI: https://doi.org/10.1007/s00270-016-1471-6

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