Successful Covering of a Hepatic Artery Aneurysm with a Coronary Stent Graft
- 74 Downloads
- 14 Citations
Abstract
In a 54-year-old woman with liver cirrhosis who underwent orthotopic liver transplantation, the postoperative course was complicated by aneurysm formation in the hepatic artery. Abdominal ultrasonography showed a daily increase in the size of the aneurysm in spite of careful management including strict rest and continuous intravenous infusion of antihypertensive agents. Since the patient’s poor systemic status was a major obstruction to operative resection, transcatheter therapy was thought more preferable. We evaluated the lesion with intravascular ultrasonography as an adjunct to angiography and a dissection with a flap was well visualized. The aneurysm was covered with a commercially available stent-graft, designed for treatment of the coronary artery. This is a rare case in which a Jostent was implanted into the hepatic artery after liver transplantation.
References
- 1.Kereiakes, DJ, Broderick, TM, Howard, WL, et al. 2002Successful long-term therapy following saphenous vein-covered stent deployment for atherosclerotic coronary aneurysmCathet Cardiovasc Intervent55100104CrossRefGoogle Scholar
- 2.Dorros, G, Jain, A, Kumar, K 1995Management of coronary artery rupture: Covered stent or microcoil embolization?Cathet Cardiovasc Diagn36148154PubMedGoogle Scholar
- 3.Colon III, PJ, Ramee, SR, Mulingtapang, R, et al. 1996Percutaneous bailout therapy of a perforated vein graft using a stent-autologous vein patchCathet Cardiovasc Diagn38175178CrossRefPubMedGoogle Scholar
- 4.Leung, AW, Wong, P, Wu, C, et al. 2000Left main coronary aneurysm: Sealing by stent graft and long-term follow-upCathet Cardiovasc Intervent51205208CrossRefGoogle Scholar
- 5.Paci, E, Antico, E, Candelari, R, et al. 2000Pseudoaneurysm of the common hepatic artery: Treatment with a stent-graftCardiovasc Intervent Radiol23472474CrossRefPubMedGoogle Scholar
- 6.Yoon, HK, Lindh, M, Uher, P, et al. 2001Stent-graft repair of a splenic artery aneurysmCardiovasc Intervent Radiol24200203PubMedGoogle Scholar
- 7.Venturini, M, Angeli, E, Salvioni, M, et al. 2002Hemorrhage from a right hepatic artery pseudoaneurysm: Endovascular treatment with a coronary stent-graftJ Endovasc Ther9221224CrossRefPubMedGoogle Scholar
- 8.Arepally, A, Dagli, M, Hofmann, LV, et al. 2002Treatment of splenic artery aneurysm with use of a stent-graftJ Vasc Interv Radiol13631633PubMedGoogle Scholar
- 9.Larson, RA, Solomon, J, Carpenter, JP 2002Stent graft repair of visceral artery aneurysmsJ Vasc Surg3612601263CrossRefPubMedGoogle Scholar
- 10.Colombo, A, Hall, P, Thomas, J, et al. 1992Initial experience with the disarticulated (one-half) Palmaz-Schatz stent: A technical reportCathet Cardiovasc Diagn25304308PubMedGoogle Scholar
- 11.Heuser, RR, Woodfield, S, Lopez, A 1999Obliteration of a coronary artery aneurysm with a PTFE covered stent: The endoluminal graft for coronary disease revisitedCathet Cardiovasc Intervent46113116CrossRefGoogle Scholar
- 12.Baldus, S, Koester, R, Elsner, M, et al. 2000Treatment of aortocoronary vein graft lesions with membrane-covered stentsCirculation10220242027PubMedGoogle Scholar
- 13.Briguori, C, Nishida, T, Anzuini, A, et al. 2000Emergency PTFE-covered stent implantation to treat coronary rupturesCirculation10230283031PubMedGoogle Scholar
- 14.Briguori, C, De Gregorio, J, Nishida, T, et al. 2000Polytetrafluoroethylene-covered stent for the treatment of narrowing in aorticocoronary saphenous vein graftAm J Cardiol86343346CrossRefPubMedGoogle Scholar
- 15.Briguori, C, Sarais, C, Sivieri, G, et al. 2002Polytetrafluoroethylene-covered stent and coronary artery aneurysmCathet Cardiovasc Intervent55326330CrossRefGoogle Scholar
- 16.Simionato, F, Righi, C, Melissano, G, et al. 2000Stent-graft treatment of a common carotid artery pseudoaneurysmJ Endovasc Ther7136140CrossRefPubMedGoogle Scholar
- 17.Ruckert, RI, Rutsch, W, Filimonow, S, et al. 2001Successful stent-graft repair of a vertebrojugular arteriovenous fistulaJ Endovasc Ther8495500CrossRefPubMedGoogle Scholar
- 18.Bisschops, RH, Popma, JJ, Meyerovitz, MF 2001Treatment of fibromuscular dysplasia and renal artery aneurysm with use of a stent-graftJ Vasc Interv Radiol12757760PubMedGoogle Scholar
- 19.Chiaradio, JC, Guzman, L, Padilla, L, et al. 2002Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: Technical case reportNeurosurgery50213216CrossRefPubMedGoogle Scholar
- 20.Blumhardt G, Ringe B, Lauchart W, et al (1987) Vascular problems in liver transplantation. Transplant Proc 19:2412PubMedGoogle Scholar
- 21.Cavallari, A, Vivarelli, M, Bellusci, R, et al. 2001Treatment of vascular complications following liver transplantation: Multidisciplinary approachHepatogastroenterology48179183PubMedGoogle Scholar
- 22.Wozney, P, Zajko, AB, Bron, KM, et al. 1986Vascular complications after liver transplantation: A 5-year experienceAJR Am J Roentgenol147657663PubMedGoogle Scholar
- 23.Marujo, WC, Langnas, AN, Wood, RP, et al. 1991Vascular complications following orthotopic liver transplantation: Outcome and the rule of urgent revascularizationTransplant Proc2314841486PubMedGoogle Scholar
- 24.Nghiem, HV, Tran, K, Winter 3rd, TC, et al. 1996Imaging of complications in liver transplantationRadiographics1625840Google Scholar
- 25.Houssin, D, Ortega, D, Richardson, A, et al. 1988Mycotic aneurysm of the hepatic artery complicating human liver transplantationTransplantation46469471PubMedGoogle Scholar
- 26.Schoder, M, Cejna, M, Langle, F, et al. 2000Glue embolization of a ruptured celiac trunk pseudoaneurysm via the gastroduodenal arteryEur Radiol1013351337CrossRefPubMedGoogle Scholar
- 27.Owens, CA, Yaghmai, B, Aletich, V, et al. 2002Coil embolization of a wide-neck splenic artery aneurysm using a remodeling techniqueAJR Am J Roentgenol17913271329PubMedGoogle Scholar
- 28.Parildar, M, Oran, I, Memis, A 2003Embolization of visceral pseudoaneurysms with platinum coils and N-butyl cyanoacrylateAbdom Imaging283640CrossRefPubMedGoogle Scholar
- 29.Lorelli, DR, Cambria, RA, Seabrook, GR, et al. 2003Diagnosis and management of aneurysms involving the superior mesenteric artery and its branches: A report of four casesVasc Endovascular Surg375966PubMedGoogle Scholar
- 30.Singh, V, Gress, DR, Higashida, RT, et al. 2002The learning curve for coil embolization of unruptured intracranial aneurysmsAJNR Am J Neuroradiol23768771PubMedGoogle Scholar
- 31.Zoarski, GH, Bear, HM, Clouston, JC, et al. 1997Endovascular extraction of malpositioned fibered platinum microcoils from the aneurysm sac during endovascular therapyAJNR Am J Neuroradiol18691695PubMedGoogle Scholar
- 32.Phatouros, CC, McConachie, NS, Jaspan, T 1999Post-procedure migration of Guglielmi detachable coils and mechanical detachable spiralsNeuroradiology41324327CrossRefPubMedGoogle Scholar
- 33.Hannesson, PH, Lundstedt, C, Dawiskiba, S, et al. 2002Transhepatic intravascular ultrasound for evaluation of portal venous involvement in patients with cancer of the pancreatic head regionEur Radiol1211501154CrossRefPubMedGoogle Scholar
- 34.Stein, M, Schneider, PD, Ho, HS, et al. 2002Percutaneous transhepatic portography with intravascular ultrasonography for evaluation of venous involvement of hepatobiliary and pancreatic tumorsJ Vasc Interv Radiol13805814PubMedGoogle Scholar
- 35.Cwikiel, W, Midia, M, Williams, D 2002Non-traumatic vascular emergencies: Imaging and intervention in acute arterial conditionsEur Radiol1226192626PubMedGoogle Scholar
- 36.Petersen, B 2003Intravascular ultrasound-guided direct intrahepatic portacaval shunt: Description of technique and technical refinementsJ Vasc Interv Radiol142132PubMedGoogle Scholar