Endovascular Emergency Management of Hepatic Pseudoaneurism with Vascular Plug 4 System with Sacrifice of the Aneurism Nutrient Artery (Report of 2 Cases)  

作　　者：Alejandro Jiménez-Sastré Reynaldo Ramírez-Chacón Miguel Ángel Miranda-Del Olmo Humberto Azuara-Forcelledo Fernando Enrique Mayans-Canabal Jesús Maximiliano Granados-Villalpando Crystell Guadalupe Guzmán-Priego Alejandro Jiménez-Sastré;Reynaldo Ramírez-Chacón;Miguel Ángel Miranda-Del Olmo;Humberto Azuara-Forcelledo;Fernando Enrique Mayans-Canabal;Jesús Maximiliano Granados-Villalpando;Crystell Guadalupe Guzmán-Priego(Center of Medical Specialties, Instituto de Seguridad Social del Estado de Tabasco (ISSET), Villahermosa, Mexico;Cardiometabolism Laboratory, Research Center, División Académica de Ciencias de la Salud (DACS), Universidad Juárez Autónoma de Tabasco (UJAT), Villahermosa, Mexico)

机构地区：[1]Center of Medical Specialties, Instituto de Seguridad Social del Estado de Tabasco (ISSET), Villahermosa, Mexico [2]Cardiometabolism Laboratory, Research Center, División Académica de Ciencias de la Salud (DACS), Universidad Juárez Autónoma de Tabasco (UJAT), Villahermosa, Mexico

出　　处：《Case Reports in Clinical Medicine》2022年第8期321-329,共9页临床医学病理报告（英文）

摘　　要：Pseudoaneurisms are arterial wounds that affect all layers of an artery;although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms derived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.Pseudoaneurisms are arterial wounds that affect all layers of an artery;although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms derived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.

关 键 词：ENDOVASCULAR Hepatic Pseudoaneurysm Interventional Radiology Vascular Plug 

分 类 号：R54[医药卫生—心血管疾病]