Glue Embolization of a Blunt Traumatic Hepatic Arteriovenous Fistula under Inflow and Outflow Control

Takahiko Mine; Satoru Murata; Daisuke Yasui; Hiroyuki Yokota; Hiroyuki Tajima; Shin-ichiro Kumita

doi:10.1272/jnms.83.27

Case Reports

Glue Embolization of a Blunt Traumatic Hepatic Arteriovenous Fistula under Inflow and Outflow Control

Takahiko Mine, Satoru Murata, Daisuke Yasui, Hiroyuki Yokota, Hiroyuki Tajima, Shin-ichiro Kumita

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Keywords: blunt liver trauma, hepatic injury, hepatic arteriovenous fistula, embolization, n-butyl-2-cyanoacrylate

JOURNAL FREE ACCESS

2016 Volume 83 Issue 1 Pages 27-30

DOI https://doi.org/10.1272/jnms.83.27

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Abstract

We report on a rare case of blunt traumatic hepatic arteriovenous fistula arising from a pseudoaneurysm in a 35-year-old woman. Transarterial embolization was performed with n-butyl-2-cyanoacrylate, under inflow control with loose coil packing within the pseudoaneurysm and outflow control by balloon occlusion of the hepatic vein. A promising therapeutic outcome was achieved without any serious adverse events. Thus, the combination of these techniques to control inflow and outflow was successfully used to treat this rare hepatic vascular injury.

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