Percutaneous and Endovascular Embolization of Ruptured Hepatic Artery Aneurysm
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A 72-year-old woman presented with an intraperitoneal hemorrhage from a ruptured intrahepatic artery aneurysm, with an associated pseudoaneurysm developing a high-flow arteriovenous fistula. Persistent coagulopathy and a median arcuate ligament stenosis of the celiac axis further complicated endovascular management. Aneurysm thrombosis required percutaneous embolization with coils, a removable core guidewire and polyvinyl alcohol particles.
KeywordsAlcohol Hepatic Artery Polyvinyl Alcohol Artery Aneurysm Arteriovenous Fistula
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