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British Journal of Radiology (2005) 78, 453-456
© 2005 British Institute of Radiology
doi: 10.1259/bjr/12679319

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Hepatic artery pseudoaneurysm after liver transplantation: definitive treatment with a stent-graft after failed coil embolisation

G Maleux, MD1, J Pirenne, MD, PhD2, R Aerts, MD2 and F Nevens, MD, PhD3

Departments of 1 Radiology, 2 Abdominal Transplantation Surgery and 3 Hepatology, University Hospitals Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium



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Figure 1. (a) Selective angiography of the common hepatic artery, branching from the superior mesenteric artery, clearly shows the pseudoaneurysm (arrowheads) originating at the surgical anastomosis of the donor–receptor hepatic artery. Note also the moderate stenosis at the surgical anastomosis (arrow). (b) Superselective catheterization of the false aneurysm (arrowheads) with use of a microcatheter. The plastic, biliary stent is clearly visible (arrows). (c) Completion angiography shows complete packing of the false aneurysm with microcoils and a fully patent hepatic artery.

 


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Figure 2. (a) Selective hepatic angiography 3 weeks after coiling, at the time recurrence of massive upper gastrointestinal bleeding, demonstrates the partial reperfusion of the false aneurysm (arrow). (b) Placement of a coronary stent-graft (arrows) with complete exclusion of the false aneurysm and preservation of the arterial flow.

 





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