Coil embolization of a congenital intrahepatic arterioportal fistula: increasing experience in management.
Congenital intrahepatic arterioportal fistula (IAPF) is a rare condition and there is limited experience of transcatheter embolization. We report here the transcatheter coil embolization of an incidentally found, asymptomatic congenital IAPF in a 16-month-old patient. After demonstrating that the IAPF was fed by two branches of a dilated left hepatic artery and drained into an aneurysm of the left portal vein, the feeding arteries were superselectively catheterized and occluded by microcoils in a single session. Follow-up was uneventful for 1 year. With respect to this and previously reported cases, we believe that embolization of feeding arteries is a safe and effective method that should be the primary choice of treatment; however, further cases should be reported to confirm this belief.
Ozyer
Umut
U
Department of Radiology, Faculty of Medicine, Baskent University, Bahcelievler, Ankara, Turkey. umut_ozyer@yahoo.com
Kirbas
Ismail
I
Aytekin
Cuneyt
C
Hasdogan
Baris
B
D000792:Angiography; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods*; D006499:Hepatic Artery; D006801:Humans; D007223:Infant; D008297:Male; D011169:Portal Vein; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D014283:Triiodobenzoic Acids; D014463:Ultrasonography
D003287:Contrast Media; D014283:Triiodobenzoic Acids; C044834:iodixanol