Intrahepatic arterioportal fistula and its treatment with detachable balloon and transcatheter embolization with coils and microspheres

Although intrahepatic arterioportal fistula (APF) due to acquired or congenital causes are infrequent, they are listed among the causes of portal hypertension. The aim of this study was to present the results of intrahepatic APF treatment with embolotherapy in six cases. Transarterial detachable bal...

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Bibliographic Details
Published in:Clinical imaging 2005-09, Vol.29 (5), p.325-330
Main Authors: Tasar, Mustafa, Gulec, Bulent, Bozlar, Ugur, Saglam, Mutlu, Ugurel, Mehmet Sahin, Ucoz, Taner
Format: Article
Language:English
Subjects:
Adult
Arterioportal fistula
Arteriovenous Fistula - diagnostic imaging
Arteriovenous Fistula - therapy
Balloon Occlusion
Biological and medical sciences
Cardiovascular system
Coil
Detachable balloon
Embolization, Therapeutic - methods
Female
Flow velocity
Gastroenterology. Liver. Pancreas. Abdomen
Hepatic Artery - diagnostic imaging
Humans
Hypertension
Intervention
Investigative techniques, diagnostic techniques (general aspects)
Liver
Liver cirrhosis
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical imaging
Medical sciences
Microspheres
Middle Aged
Other diseases. Semiology
Polyvinyl alcohol
Portal hypertension
Portal Vein - diagnostic imaging
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Surgery
Transcatheter embolization
Trauma
Treatment Outcome
Ultrasonography
Veins & arteries
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Summary:Although intrahepatic arterioportal fistula (APF) due to acquired or congenital causes are infrequent, they are listed among the causes of portal hypertension. The aim of this study was to present the results of intrahepatic APF treatment with embolotherapy in six cases. Transarterial detachable balloon and coil embolization was used on six consecutive cases with traumatic intrahepatic APF from 1989 to 2003. Six-month follow-up angiography was obtained in every case. Successful disconnection of hepatic arterial and portal system was achieved in five cases. At least symptomatic improvement was achieved in one. Transcatheter embolization may be the first line of treatment for intrahepatic APF.
ISSN:0899-7071
1873-4499
DOI:10.1016/j.clinimag.2004.11.023