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Intrahepatic arterioportal fistulae: Role of transcatheter embolization

  • Clinical Investigations
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Abstract

Management of 26 arterioportal fistulae (APFs) is reported. Among 13 hepatoma-induced fistulae (group A), conservative treatment was inefective in 8 patients, and arterial embolization alleviated portal hypertension in the other 5. Of 10 iatrogenic APFs (group B), the 3 largest were successfully embolized, the remaining lesions resolved spontaneously. Three spontaneous nonmalignant APFs (group C) were embolized. Excellent results were obtained in 2 patients, and the other died of severe postembolization hepatic failure. Because long-standing APFs may cause severe portal hypertension with consequent variceal bleeding they should be treated. Arterial embolization is indicated in most patients.

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Tarazov, P.G. Intrahepatic arterioportal fistulae: Role of transcatheter embolization. Cardiovasc Intervent Radiol 16, 368–373 (1993). https://doi.org/10.1007/BF02603142

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