Stent-graft for the management of hepatic artery rupture subsequent to transcatheter thrombolysis and angioplasty in a liver transplant recipient.
Arterial rupture subsequent to angioplasty occurs in about 5% of cases. Thrombolysis with re-establishment of flow without resolving underlying anatomic defects such as hepatic arterial stenosis leads to re-thrombosis. We present a case of arterial anastomotic rupture after thrombolysis and angioplasty of an underlying anastomotic hepatic arterial stenosis. Both the underlying anatomic defect and the rupture were resolved successfully with placement of a stent-graft, with a resultant patent artery for 1 year after the procedure.
Yamakado
Koichiro
K
Department of Radiology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan. yama@clin.medic.mie-u.ac.jp
Nakatsuka
Atsuhiro
A
Takaki
Haruyuki
H
Usui
Masanobu
M
Sakurai
Hiroyuki
H
Isaji
Shuji
S
Uemoto
Shinji
S
Takeda
Kan
K
D000792:Angiography; D000800:Angioplasty, Balloon; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D003287:Contrast Media; D006499:Hepatic Artery; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D012421:Rupture; D015607:Stents; D015912:Thrombolytic Therapy / Q000379:methods; D013927:Thrombosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
D003287:Contrast Media; D011138:Polytetrafluoroethylene