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KMID : 1048120220110010035
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International Journal of Gastrointestinal Intervention
2022 Volume.11 No. 1 p.35 ~ p.38
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Transhepatic glue injection for hepatic pseudoaneurysm and arteriohepatic venous fistula after the failure of transarterial embolization
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Le Thanh Dung
Nguyen Minh Duc
Than Van Sy
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Abstract
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The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.
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KEYWORD
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Abdominal injuries, Arteriovenous fistula, False aneurysm, Hemoperitoneum, Rupture
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