Management of a traumatic hepatic artery pseudoaneurysm and arterioportal fistula with a combination of a stent graft and coil embolization using flow control with balloon remodeling.
We describe a child who presented with a traumatic hepatic artery pseudoaneurysm and arterioportal fistula, which were subsequently managed with an endovascular stent graft and coil embolization using flow control with balloon remodeling. This case demonstrates a rarely seen condition in the pediatric population and a novel management strategy, which should be considered in the management of this complex injury.
Flum
Andrew S
AS
Section of Pediatric Surgery, CS Mott Children's Hospital, University of Michigan, Ann Arbor, MI 48109, USA.
Geiger
James D
JD
Gemmete
Joseph J
JJ
Williams
David M
DM
Teitelbaum
Daniel H
DH
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization / Q000379:methods*; D002648:Child; D004621:Embolization, Therapeutic / Q000379:methods*; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D006801:Humans; D008102:Liver Circulation / Q000502:physiology; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods