title: Coil embolization of an arteriobiliary fistula caused by hepatic intra-arterial chemotherapy.
abstract: Arteriobiliary fistula is a rare complication of hepatic intra-arterial chemotherapy. We report successful coil embolization of an arteriobiliary fistula. An 80-year-old woman underwent percutaneous placement of an indwelling catheter into the replaced right hepatic artery for intra-arterial chemotherapy of liver metastases. Coil embolization of the left hepatic artery was not performed. The patient complained of abdominal pain during intra-arterial chemotherapy. Angiography revealed a fistula between the replaced right hepatic artery and the common bile duct. The fistula was successfully treated by coil embolization via the indwelling catheter, and the indwelling catheter was removed. Although such complications usually herald the termination of intra-arterial chemotherapy, the patient underwent percutaneous implantation of a new catheter-port system, and intra-arterial chemotherapy was restarted.
authors: Department of Radiology, Showa General Hospital, Kodaira, Tokyo 187-0004, Japan. takaoh-tky@umin.ac.jp
authors: Hidemasa
authors: H
authors: Takao
authors: Ippei
authors: I
authors: Doi
authors: Kohzoh
authors: K
authors: Makita
authors: Toshiaki
authors: T
authors: Watanabe
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002408:Catheters, Indwelling; D003135:Common Bile Duct / Q000000981:diagnostic imaging*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging*; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000009:adverse effects*; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary; D011859:Radiography; D035583:Rare Diseases; D016157:Vascular Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*