Transhepatic glue injection for hepatic pseudoaneurysm and arteriohepatic venous fistula after the failure of transarterial embolization
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.
Abstract
The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.
참고문헌 (30)
- Wagner ML, "Hepatic pseudoaneurysm incidence after liver trauma", J Surg Res, 256, pp.623~628 (2020)
- Lada NE, "Liver trauma : hepatic vascular injury on computed tomography as a predictor of patient outcome", Eur Radiol (2020)[DOI]
- Kozar RA, "Organ injury scaling 2018 update : spleen, liver, and kidney", J Trauma Acute Care Surg, 85, pp.1119~1122 (2018)
- Fodor M, "Non-operative management of blunt hepatic and splenic injury : a time-trend and outcome analysis over a period of 17 years", World J Emerg Surg, 14, pp.29~ (2019)
- Brillantino A, "Nonoperative management of blunt liver trauma : safety, efficacy and complications of a standardized treatment protocol", Bull Emerg Trauma, 7, pp.49~54 (2019)
- Green CS, "Outcomes and complications of angioembolization for hepatic trauma : a systematic review of the literature", J Trauma Acute Care Surg, 80, pp.529~537 (2016)
- Xu H, "Selective angiographic embolization of blunt hepatic trauma reduces failure rate of nonoperative therapy and incidence of post-traumatic complications", Med Sci Monit, 23, pp.5522~5533 (2017)
- Coccolini F, "Liver trauma : WSES 2020 guidelines", World J Emerg Surg, 15, pp.24~ (2020)
- Shimohira M, "Transcatheter arterial embolization for hepatic arterial injury related to percutaneous transhepatic portal intervention", Cardiovasc Intervent Radiol, 40, pp.291~295 (2017)
- Letoublon C, "Management of blunt hepatic trauma", J Visc Surg, 153(Suppl 4), pp.33~43 (2016)
- Ward J, "Management of blunt liver injury : what is new?", Eur J Trauma Emerg Surg, 41, pp.229~237 (2015)
- Ierardi AM, "The role of interventional radiology in abdominopelvic trauma", Br J Radiol, 89, pp.20150866~ (2016)
- Le TD, "Percutaneous balloon-assisted ultrasound-guided direct glue embolization of deep femoral artery pseudoaneurysm rupture", Radiol Case Rep, 16, pp.425~429 (2020)
- Aytekin C, "Balloon-assisted ultrasound-guided direct percutaneous embolization of a peripheral pseudoaneurysm with n-butyl cyanoacrylate", Eur Radiol, 12(Suppl 3), pp.S185~8 (2002)
- Hanson JM, "Ultrasound-guided thrombin injection of iatrogenic groin pseudoaneurysm : Doppler features and technical tips", Br J Radiol, 81, pp.154~163 (2008)
- Parihar A, "Direct sac puncture and glue embolization of intraosseous AVM of the maxilla", Int J Oral Maxillofac Surg, 40, pp.749~752 (2011)
- Gorsi U, "Utility of percutaneous thrombin injection for treating visceral pseudoaneurysms", Minim Invasive Ther Allied Technol (2020)[DOI]
- Gorsi U, "Percutaneous glue embolization as a primary treatment for visceral pseudoaneurysms", Minim Invasive Ther Allied Technol, 29, pp.170~176 (2020)
- Lal A, "Percutaneous cyanoacrylate glue injection into the renal pseudoaneurysm to control intractable hematuria after percutaneous nephrolithotomy", Cardiovasc Intervent Radiol, 32, pp.767~771 (2009)
- Hung SC, "Traumatic hepatic pseudoaneurysm with arterio-hepatic venous fistula : diagnosis with MDCT angiography", Inj Extra, 37, pp.349~352 (2006)
- Chandrasekharan R, "Traumatic hepatic arteriohepatic venous fistula managed with selective coil embolization : a case report", BJR Case Rep, 3, pp.20150512~ (2017)
- Karegowda LH, "Trauma-induced dual vascular lesions in the liver-hepatic pseudoaneurysm with arteriohepatic venous fistula", BMJ Case Rep, 2018, pp.bcr2018226311~ (2018)
- Goedecke M, "No need for surgery? Patterns and outcomes of blunt abdominal trauma", Innov Surg Sci, 4, pp.100~107 (2019)
- BifflWL, "Management guidelines for penetrating abdominal trauma", Curr Opin Crit Care, 16, pp.609~617 (2010)
- Shah RP, "Hepatic arterial embolization complicated by acute cholecystitis", Semin Intervent Radiol, 28, pp.252~257 (2011)
- Yoon Suk Lee, "Biliary complications after transcatheter arterial chemoembolization for hepatocellular carcinoma", International Journal of Gastrointestinal Intervention, 9(1), pp.27~30 (2020), 소화기인터벤션의학회[DOI]
- Marra P, "Percutaneous ultrasound-guided direct glue embolization : a practical approach to Iatrogenic Inferior epigastric artery pseudoaneurysms", J Vasc Interv Radiol, 30, pp.1673~1675 (2019)
- Sakr MA, "Direct percutaneous embolization of renal pseudoaneurysm", J Endourol, 23, pp.875~878 (2009)
- Gulati GS, "Percutaneous glue embolization of a visceral artery pseudoaneurysm in a case of sickle cell anemia", Cardiovasc Intervent Radiol, 29, pp.665~668 (2006)
- Pezzullo JA, "Percutaneous injection of thrombin for the treatment of pseudoaneurysms after catheterization : an alternative to sonographically guided compression", AJR Am J Roentgenol, 175, pp.1035~1040 (2000)
