Coiling Arteria hepatica

Successful

endovascular embolization of the common hepatic artery for pseudoaneurysm associated with pancreatic fistula after liver transplantation: a case report. Diagnosis of the HAP in the CHA 8 months after LDLT. A Abdominal ultrasonography revealing a 4-cm mass with a to-and-fro wave pattern at the neck of the lesion on Doppler. B Plain abdominal computed tomography imaging showing a 4-cm cystic lesion in the area of the pancreatic head. C-a Celiac angiography revealing a narrow-neck type HAP in the CHA and a tortuous PHA. C-b Under balloon protection of the PHA, thrombin was injected into the HAP. C-c Post-procedure angiography showing complete occlusion of the HAP and a good flow to the graft liver. CHA common hepatic artery, HAP hepatic artery pseudoaneurysm, LDLT living donor liver transplantation, PHA proper hepatic artery

Successful

endovascular embolization of the common hepatic artery for pseudoaneurysm associated with pancreatic fistula after liver transplantation: a case report. Coil embolization of the HAP in the CHA. Coil embolization of the recanalized HAP 8 months after the first endovascular treatment. A Celiac angiogram of the HAP in the CHA. The HAP neck had widened, and the diameter of the PHA had narrowed compared to the first endovascular treatment. B SMA angiography image of the collateral vascular network around the bile duct (arrow). C Coil embolization performed on the HAP and CHA. D Post-procedural angiography of the SMA showing preserved flow to the graft via a vascular network around the bile duct. E Abdominal ultrasonography showing the intrahepatic arterial waveforms after coil embolization of the CHA. CHA common hepatic artery, HAP hepatic artery pseudoaneurysm, PHA proper hepatic artery, SMA superior mesenteric artery