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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Autores principales: Huf, V. I., Grothues, D., Knoppke, B., Goessmann, H., Wohlgemuth, W. A., Melter, M., Brunner, S. M., Schlitt, H. J., Uller, W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7979840/
https://www.ncbi.nlm.nih.gov/pubmed/33740138
http://dx.doi.org/10.1186/s42155-021-00221-x
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author Huf, V. I.
Grothues, D.
Knoppke, B.
Goessmann, H.
Wohlgemuth, W. A.
Melter, M.
Brunner, S. M.
Schlitt, H. J.
Uller, W.
author_facet Huf, V. I.
Grothues, D.
Knoppke, B.
Goessmann, H.
Wohlgemuth, W. A.
Melter, M.
Brunner, S. M.
Schlitt, H. J.
Uller, W.
author_sort Huf, V. I.
collection PubMed
description 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.
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spelling pubmed-79798402021-04-12 Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report Huf, V. I. Grothues, D. Knoppke, B. Goessmann, H. Wohlgemuth, W. A. Melter, M. Brunner, S. M. Schlitt, H. J. Uller, W. CVIR Endovasc 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, 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. Springer International Publishing 2021-03-19 /pmc/articles/PMC7979840/ /pubmed/33740138 http://dx.doi.org/10.1186/s42155-021-00221-x Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Huf, V. I.
Grothues, D.
Knoppke, B.
Goessmann, H.
Wohlgemuth, W. A.
Melter, M.
Brunner, S. M.
Schlitt, H. J.
Uller, W.
Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title_full Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title_fullStr Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title_full_unstemmed Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title_short Super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
title_sort super selective percutaneous transhepatic coil embolization of intrahepatic pseudoaneurysm after pediatric liver transplantation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7979840/
https://www.ncbi.nlm.nih.gov/pubmed/33740138
http://dx.doi.org/10.1186/s42155-021-00221-x
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