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Case report


Percutaneous Thrombin Injection for Treatment of a Hepatic Arterial Pseudoaneurysm after the Placement of a Transjugular Intrahepatic Portosystemic Shunt

Daniel C. OppenheimerLuann JonesAshwani Sharma
Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Date of Submission: 12-Nov-2018, Date of Acceptance: 22-Dec-2018, Date of Web Publication: 28-May-2019.
Corresponding Author:
Corresponding Author

Dr. Daniel C. Oppenheimer

Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
E-mail: Daniel_Oppenheimer@URMC.Rochester.edu

Corresponding Author:
Corresponding Author

Dr. Daniel C. Oppenheimer

Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA.
E-mail: Daniel_Oppenheimer@URMC.Rochester.edu

DOI: 10.25259/JCIS_87_18 Facebook Twitter Google Linkedin

ABSTRACT


Transjugular intrahepatic portosystemic shunt (TIPS) is a widely accepted option for treating the complications of portal hypertension. The procedure involves creating a communication between the portal and hepatic venous systems using imaging guidance, thereby diverting the portal venous flow and reducing the portosystemic gradient. However, as with any procedure, TIPS insertion is not without potential complications. We present a case of a 37‑year‑old female who developed a hepatic artery pseudoaneurysm following the placement of a TIPS which was successfully treated with percutaneous thrombin injection.
Keywords: Hepatic artery pseudoaneurysm, Portal hypertension, Transjugular intrahepatic portosystemic shunt

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