Abstract
A 41-year-old liver transplant patient had severe hemobilia from an intrahepatic pseudoaneurysm secondary to a liver biopsy. Selective intra-arterial embolization was not technically possible due to marked redundancy and tortuosity of the allograft hepatic artery. The pseudoaneurysm was localized by ultrasound and embolized using a direct percutaneous transhepatic approach. This is a novel way of approaching hemobilia in liver transplant patients after liver biopsy and may avoid the risks of arterial embolization.
This is a preview of subscription content, log in via an institution to check access.
References
Lukancic SP, Nemcek AA, Vogelzang RL (1991) Post-traumatic intrahepatic arterial pseudoaneurysm: treatment with direct percutaneous puncture. J Vasc Intervent Radiol 2: 335
Okuda K, Musha H, Nakajima Y, Takayasu K, Suzuki Y, Morita M, Yamasaki T (1978) Frequency of intrahepatic arteriovenous fistula as a sequela to percutaneous needle puncture of the liver. Gastroenterology 74: 1204
Rothbartl LJ, Redmon PL, Kumpe DA (1989) Percutaneous transhepatic treatment of a large intrahepatic aneurysm AJR 153: 1077
Zajko AB, Campbell WL, Logsdon GA, Bron KM, Tzakis A, Esquivel CO, Starzl TE (1988) Biliary complications in liver allografts after hepatic artery occlusion: a 61/2 year study. Transplant Proc 20: 607
Zajko AB, Chablani V, Bron KM, Junreis C (1990) Hemobilia complicating transhepatic catheter drainage in liver transplant recipients: management with selective embolization. Cardiovasc Intervent Radiol 13: 285
Author information
Authors and Affiliations
About this article
Cite this article
Merhav, H., Zajko, A.B., Dodd, G.D. et al. Percutaneous transhepatic embolization of an intrahepatic pseudoaneurysm following liver biopsy in a liver transplant patient. Transpl Int 6, 239–241 (1993). https://doi.org/10.1007/BF00337107
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00337107