Endovascular treatment of pseudoaneurysm of the common hepatic artery with intra-aneurysmal glue (N-butyl 2-cyanoacrylate) embolization.
A 40-year-old man, a chronic alcoholic, presented with acute epigastric pain. Selective celiac arteriography showed a pseudoaneurysm arising from the common hepatic artery. We hereby describe a technical innovation where complete pseudoaneurysm exclusion was seen after intra-aneurysmal N-butyl 2-cyanoacrylate (glue) injection with preservation of antegrade hepatic arterial flow and conclude that intra-aneurysmal liquid injection may have potential as a therapeutic option to reconstruct a defective vessel wall and thereby maintain the antegrade flow.
Garg
Ashwin
A
Department of Radiology, Lokmanya Tilak Medical College and Municipal General Hospital, Sion, Mumbai-22, India. ashwin_garg@yahoo.co.in
Banait
Swati
S
Babhad
Sudeep
S
Kanchankar
Niraj
N
Nimade
Pradeep
P
Panchal
Chintan
C
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006499:Hepatic Artery / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D019512:Pancreatitis, Alcoholic / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014014:Tissue Adhesives / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D014014:Tissue Adhesives; D004659:Enbucrilate