Late recurrence of a hepatic artery aneurysm after treatment using an endovascular stent.
Endovascular stent placement and coil embolization have become established options in the treatment of visceral arterial aneurysms. In this article we report the case of an 83-year-old presenting with gastrointestinal hemorrhage due to a recurrent hepatic arterial aneurysm occurring 12 years after treatment with an endovascular stent. The recurrent aneurysm had resulted from stent fracture and was successfully treated by coil embolization. To our knowledge, stent fracture complicating the endovascular treatment of a visceral artery aneurysm has not been described in the published literature. With the increasing use of metallic endoprostheses in interventional radiology, recognizing and reporting device failure are of critical importance.
Department of Radiology, Milton Keynes Foundation Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK.
Jonathan
J
Downer
Kiyoshi
K
Choji
D000369:Aged, 80 and over; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic / Q000379:methods*; D006499:Hepatic Artery; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D012008:Recurrence; D019233:Retreatment; D015607:Stents; D014057:Tomography, X-Ray Computed