Hepatic artery pseudoaneurysm coiling

Case contributed by Dr Paresh K Desai

Presentation

Acute on chronic pancreatitis with upper GI bleed

Patient Data

Age: 50
Gender: Male
DSA (angiography)

The coeliac axis had a right angle take off from the aorta. Hence a Sim 1 catheter is used to cannulate the coeliac axis. After confirming the presence of a narrow necked pseudoaneurysm arising from the common hepatic artery trifurcation. The pseudoaneurysm is super selectively cannulated with a Progreat (Terumo) microcatheter. Microcoils (Hilal, COOK - ).18", 3mmx30mm coils are deployed at the neck of the pseudoaneurysm.

Complete exlusion of the pseudoaneurysm is achieved.

One of the microcoil has migrated in to the distal right hepatic arterial branch.

Case Discussion

Splanchnic pseudoaneurysms are a rare complication of pancreatitis. These patients may present with upper GI bleed, abdominal pain etc.

Endovascular coiling is an effective method of treatment of these pseudoaneusyms.

Acknowledgements to Dr Kapil Naik; my colleague in IR work.

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Case information

rID: 20102
Case created: 3rd Nov 2012
Last edited: 12th Feb 2017
Inclusion in quiz mode: Included

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