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Coil Embolization of True, Common and Proper, Hepatic Artery Aneurysms: Technique, Safety and Outcome

  • CLINICAL INVESTIGATION
  • Embolisation (arterial)
  • Published:
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Abstract

Purpose

To retrospectively assess the safety and efficacy of coil embolization for catheter-directed true common and proper hepatic artery aneurysm exclusion.

Materials and Methods

Nine consecutive patients (2005–2021) in two university centers presenting with true common and proper hepatic artery aneurysms (> 2 cm in diameter) were treated with ‘frontdoor-backdoor’ coil embolization. Patients presenting with a hepatic artery pseudoaneurysm, mycotic aneurysm or patients with small (< 2 cm diameter) aneurysms and followed up by imaging were excluded. Technical and clinical success was defined as complete coil-exclusion of the aneurysm on completion angiography and absence of post-embolization adverse events, in particular mass effect or hemorrhage, respectively. Patient characteristics, technical and clinical success, liver function tests and follow-up results were assessed based on the patients’ electronic medical records.

Results

Technical and 30-day clinical success was achieved in all procedures (100%). No major procedural complications were reported. Liver function test values were available in 6/9 patients, showing transient elevation of bilirubin in one patient. No end organ ischemia was reported. The mean clinical follow-up period of the study patients was 72 months (12–168 months). Long-term stable occlusion of the hepatic aneurysms was achieved in 9/9 patients (100%). One patient showed late complication (3 years) with coil migration into a bulbar ulcer, without aneurysm recanalization, however with fatal outcome.

Conclusion

Coil embolization for the endovascular exclusion of true common and proper hepatic artery aneurysms is safe and effective.

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Funding

This study was not supported by any funding.

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Authors and Affiliations

  1. Department of Radiology, AZ Sint-Jan Hospital Brugge, Brugge, Belgium

    A. Van Holsbeeck & J. Marrannes

  2. Department of Radiology, AZ Sint-Lucas Hospital Brugge, Brugge, Belgium

    A. Van Holsbeeck & J. Marrannes

  3. Department of Radiology, University Hospital Gent, Ghent, Belgium

    E. Dhondt & L. Defreyne

  4. Department of Radiology, University Hospital Leuven, Herestraat 49, 3000, Louven, Belgium

    E. Claus, L. Bonne & G. Maleux

Authors
  1. A. Van Holsbeeck
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  2. E. Dhondt
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  3. J. Marrannes
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  4. E. Claus
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  5. L. Bonne
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  6. L. Defreyne
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  7. G. Maleux
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All authors contributed to the writing of the text and they all read and approved the final manuscript.

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Correspondence to G. Maleux.

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Van Holsbeeck, A., Dhondt, E., Marrannes, J. et al. Coil Embolization of True, Common and Proper, Hepatic Artery Aneurysms: Technique, Safety and Outcome. Cardiovasc Intervent Radiol 46, 480–487 (2023). https://doi.org/10.1007/s00270-023-03379-0

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  • DOI: https://doi.org/10.1007/s00270-023-03379-0

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