Successful Endovascular Management of Pseudoaneurysm following Transarterial Chemoembolization: A Case Report.
Joo Yeon JangTae Un KimHwaseong RyuKi Tae YoonYoung Mi HongUng Bae JeonPublished in: Medicina (Kaunas, Lithuania) (2024)
Background and Objectives : Transarterial chemoembolization (TACE) is a widely accepted treatment for hepatocellular carcinoma (HCC). Regarding TACE, arterial injuries, such as hepatic artery spasm or dissection, can also occur, although pseudoaneurysms are rare. We report a case of pseudoaneurysm following TACE. Materials and Methods : A 78-year-old man had been undergoing TACE for HCC in segment 8 of the liver for the past 5 years, with the most recent TACE procedure performed approximately 1 month prior. He presented to the emergency department with melena that persisted for 5 days. Computed tomography revealed a pseudoaneurysm in the S8 hepatic artery with hemobilia. Results : the pseudoaneurysm was successfully treated by N-Butyl-cyanoacrylate glue embolization. Conclusions : In patients that have undergone TACE presenting with melena and hemobilia identified on CT, consideration of hepatic artery pseudoaneurysm is crucial. Such cases can be safely and effectively treated with endovascular managements.
Keyphrases
- computed tomography
- emergency department
- endovascular treatment
- radiofrequency ablation
- newly diagnosed
- end stage renal disease
- ejection fraction
- magnetic resonance imaging
- dual energy
- prognostic factors
- contrast enhanced
- peritoneal dialysis
- magnetic resonance
- patient reported outcomes
- patient reported
- smoking cessation
- aortic dissection