Hepatic artery pseudoaneurysm coiling
Acute on chronic pancreatitis with upper GI bleed
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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.
- Frank Pilleul, Frederique Dugougeat. Transcatheter embolization of splanchnic aneurysms/pseudoaneurysms: early imaging allows detection of incomplete procedure. Journal of Computer Assisted Tomography. 26(1):107-12.
- Kramann B, Kubale R, Defreyne L, Roth R, Schneider G, Walter P. Endovascular therapy of visceral aneurysms Langenbecks Arch Chir Suppl Kongressbd. 1996;113:878-81.