| Autor: |
Yasuyuki Onishi, MD, Hiroyuki Kimura, MD, PhD, Mitsunori Kanagaki, MD, PhD, Shojiro Oka, MD, Genki Fukumoto, MD, Tomoaki Otani, MD, Naoko Matsubara, MD, Kazuna Kawabata, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Radiology Case Reports, Vol 14, Iss 6, Pp 711-713 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1930-0433 |
| DOI: |
10.1016/j.radcr.2019.03.021 |
| Popis: |
A 69-year-old man was transferred to our hospital for massive hemorrhage from a right hepatic artery pseudoaneurysm 5 months after surgery for gastric cancer. Stent-graft placement was planned to avoid fatal hepatic infarction, and a guiding sheath was advanced deeply into the tortuous and stenotic right hepatic artery beyond the pseudoaneurysm for safe deployment of a stent-graft. However, this advancement caused arterial dissection of the right hepatic artery. After the guiding sheath was pulled back, a Viabahn stent-graft was successfully advanced over a guidewire to exclude the pseudoaneurysm. We consider that a Viabahn stent-graft is more flexible than a guiding sheath and that advancing a Viabahn stent-graft directly from a proximally placed guiding sheath is safer than advancing a guiding sheath into a tortuous and stenotic abdominal artery. Keywords: Stent-graft, Pseudoaneurysm, Arterial dissection |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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