Endovascular Embolization of Post-Traumatic Extrahepatic Arterioportal Fistula
https://doi.org/10.16931/1995-5464.20152119-122
Abstract
It is presented an unusual case of successful angiographic embolization of post-traumatic extrahepatic arterioportal fistula in patient with liver cirrhosis, portal hypertension, recurrent gastroesophageal variceal bleeding despite previous ligation and splenectomy. In 6 months postoperatively anastomosis and signs of portal hypertension were absent. For 5 years postoperatively the patient remained free of disease. Data about etiology, pathogenesis and brief literature review
are presented
About the Authors
P. G. Tarazov
Russian Scientific Center of Radiology and Surgical Technologies, St. Petersburg
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Head of the Department of Angiography, Russian Research Center for Radiology and Surgical Technologies
A. A. Polikarpov
Russian Scientific Center of Radiology and Surgical Technologies, St. Petersburg
Russian Federation
Russian Federation
Doct. of Med. Sci., Leading Scientific Researcher, Department of Angiography, Russian Research Center for Radiology and Surgical Technologies
References
1. Vauthey J.-N., Tomczak R.J., Helmberger T., Gertsch P., Forsmark C., Caridi J., Reed A., Langham M.R., Lauwers G.Y., Goffette P., Lerut J. The arterioportal fistula syndrome: Clinicopathological features, diagnosis, and therapy. Gastroenterology. 1997; 113 (4): 1390–1401.
2. Guzman E.A., McCahil L.E., Rogers F.B. Arterioportal fistulas: Introduction of a novel classification with therapeutic implications. J. Gastrointest. Surg. 2006; 10 (4): 543–550.
3. Готман Л.Н., Захаров Г.Н., Пивник А.В. Случай ангиографической диагностики и рентгеноэндоваскулярной окклюзии артериовенозной аневризмы селезеночной артерии как осложнения спленэктомии у гематологического больного. Терапевтический архив. 1997; 69 (7): 62–63. Gotman L.N., Zakharov G.N., Pivnik A.V. The case of angiographic diagnosis and endovascular treatment of splenic arteriovenous fistula complicating splenectomy in a hematological patient. Terapevticheskij arkhiv. 1997; 69 (7): 62–63. (In Russian)
4. Цыганков В.Н., Францевич А.М., Варава А.Б., Кригер А.Г., Журенкова Т.В. Рентгеноэндоваскулярное лечение посттравматической артериовенозной фистулы селезеночной артерии. Хирургия. 2014; 3: 62–65. Tsygankov V.N., Frantsevich A.M., Varava A.B., Kriger A.G., Zhurenkova T.V. Endovascular treatment of post-traumatic splenic arteriovenous fistula. Khirurgia. 2014; 3: 62–65. (In Russian)
5. Barbaros U., Ozemir I.A., Aksakal N., Tukenmez M., Kilic B., Agcaoglu O., Dinccag A., Seven R., Mercan S. Laparos copicsurgery of the splenic artery and vein aneurysm with spontaneous arteriovenous fistula. Surg. Laparosc. Endosc. Percutan. Tech. 2013; 23 (3): e127–e130. doi: 10.1097/SLE.0b013e31827775f2.
6. Van der Vlies C.H., van Delden O.M., Punt B.J., Ponsen K.J., Reekers J.A., Coslings J.C. Literature review of the role of ultrasound, computed tomography, and transcatheter arterial embolization for the treatment of traumatic splenic injuries. Cardiovasc. Intervent. Radiol. 2010; 33 (6): 1079–1087. doi: 10.1007/s00270-010-9943-6.
7. Ding P., Li Z., Han X.W., Wang Z.G., Zhang W.G., Fu M.T. Portal, mesenteric, and splenic vein thromboses after endovascular embolization for gastrointestinal bleeding caused by a splenic arteriovenous fistula. Ann. Vasc. Surg. 2014; 28 (5): 1322.e1–1325. doi: 10.1016/j.avsg.2013.11.022.
8. Narayanan G., Mohin G., Barbery K., Lamus D., Nanavati K., Yrizarry J.M. Endovascular management of superior mesenteric artery pseudoaneurysm and fistula: Case report. Cardiovasc. Intervent. Radiol. 2008; 31 (6): 1239–1243. doi: 10.1007/s00270-008-9354-0.
9. Chen Q., Tack C., Morcos M., Ruggiero M.A., Schlossberg P., Fogel J., Weng L.-J., Farkas J. Embolotherapy of an arterioportal fistula. Cardiovasc. Intervent. Radiol. 2007; 30 (5): 1047–1051.
10. Saddekni S., Anis K.H., Hegazi A.A., Hamed M.F., Abdel Aal A.K. Traumatic complex splenic arteriovenous fistula causing prehepatic portal hypertension and variceal bleeding: The importance of the diagnosis for the endovascular treatment approach. Vasc. Endovasc. Surg. 2014; 48 (2): 180–185. doi: 10.1177/1538574413513340.
Review
For citations:
Tarazov P.G., Polikarpov A.A. Endovascular Embolization of Post-Traumatic Extrahepatic Arterioportal Fistula. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2015;20(2):119-122. (In Russ.) https://doi.org/10.16931/1995-5464.20152119-122
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