Occlusion of a hepatic artery to portal vein fistula with bucrylate.
A 49-year-old woman with cirrhosis and portal hypertension was evaluated for a portal-systemic shunt procedure following recurrent variceal hemorrhage. The preoperative visceral angiogram demonstrated a hepatic arterial to portal venous fistula, presumably a complication of a previous liver biopsy. The fistula was successfully closed using isobutyl-2-cyanoacrylate (Bucrylate) delivered through a flow-directed, calibrated-leak balloon microcatheter.
D000792:Angiography; D001164:Arteriovenous Fistula / Q000628:therapy*; D002015:Bucrylate; D003487:Cyanoacrylates; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008875:Middle Aged; D011169:Portal Vein
D003487:Cyanoacrylates; D002015:Bucrylate