CLINICAL CASES   

Giornale Italiano di Chirurgia Vascolare 1999 September;6(3):205-13

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English, Italian

Percutaneous transcatheter embolisation of a hepatic artery pseudoaneurysm using tungsten coils

Falappa P., Ortenzi M. *, Boni S. *, Santini E. **

From the Institute of Radiology of Istituto Dermopatico dell’Immacolata, Roma * Institute of Radiology, Ospedale di Belcolle, Viterbo ** Institute of Vascular Surgery Ospedale di Acquapendente (Viterbo)

The ­authors dis­cuss a ­case of per­cut­ane­ous trans­cath­et­er embol­isa­tion and fol­low-up of a hepat­ic ­artery pseu­do­aneu­rysm in a 63-­year-old man fol­low­ing sur­gi­cal treat­ment of pep­tic ­ulcer dis­ease. The ­lesion was diag­nosed ­with CT, ­colour Doppler US and angio­gra­phy and was treat­ed ­with per­cut­ane­ous trans­cath­et­er embol­isa­tion ­using tung­sten ­coils: clin­i­cal con­di­tions ­improved and the ­size of the aneu­rys­mat­ic sac ­reduced. Embolisation treat­ment ­with tung­sten ­coils ­arrests bleed­ing and ­relieves symp­toms. Tungsten ­coils are eas­i­ly ­placed in posi­tion. Transcatheter embol­isa­tion of hepat­ic ­artery aneu­rysms ­using tung­sten ­coils may be regard­ed as the meth­od of ­choice ­owing to the ­high ­rate of suc­cess and low inci­dence of com­pli­ca­tions.