Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report

Background Intrahepatic arterial pseudoaneurysms are a rare, life-threatening complication after pediatric liver transplantation. Treatment of choice represents interventional radiological management with endovascular embolization of the segmental artery proximal and distal to the aneurysm. However,...

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Bibliographic Details
Published in:CVIR endovascular 2021-03, Vol.4 (1), p.31-31, Article 31
Main Authors: Huf, V. I., Grothues, D., Knoppke, B., Goessmann, H., Wohlgemuth, W. A., Melter, M., Brunner, S. M., Schlitt, H. J., Uller, W.
Format: Article
Language:English
Subjects:
Aneurysms
Case Report
Case reports
Embolization
Imaging
Interventional Radiology
Ischemia
Liver
Liver transplants
Magnetic resonance imaging
Medicine
Medicine & Public Health
Pediatric liver transplantation
Pediatrics
Percutaneous embolization
Pseudoaneurysm
Radiology
Ultrasonic imaging
Veins & arteries
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Summary:Background Intrahepatic arterial pseudoaneurysms are a rare, life-threatening complication after pediatric liver transplantation. Treatment of choice represents interventional radiological management with endovascular embolization of the segmental artery proximal and distal to the aneurysm. However, this technique results in loss of arterial perfusion distal to the aneurysm with subsegment arterial ischemia. Case presentation We report a case of a 1-year-old girl with a pseudoaneurysm in the split-liver graft. Direct percutaneous, transhepatic access to the pseudoaneurysm was performed followed by super selective coil application into the aneurysm. Conclusion Super selective percutaneous, transhepatic coil application is feasible even in pediatric patients after liver transplantation and results in preservation of the entire course of the liver artery.
ISSN:2520-8934
2520-8934
DOI:10.1186/s42155-021-00221-x