-Case Reports-

Glue Embolization of a Blunt Traumatic Hepatic Arteriovenous Fistula under Inflow and Outflow Control

Takahiko Mine¹, Satoru Murata¹, Daisuke Yasui¹, Hiroyuki Yokota², Hiroyuki Tajima³ and Shin-ichiro Kumita¹

¹Department of Radiology, Nippon Medical School
²Department of Emergency and Critical Care Medicine, Nippon Medical School
³Center for Minimally Invasive Treatment, Nippon Medical School Musashi Kosugi Hospital

We report on a rare case of blunt traumatic hepatic arteriovenous fistula arising from a pseudoaneurysm in a 35-year-old woman. Transarterial embolization was performed with n-butyl-2-cyanoacrylate, under inflow control with loose coil packing within the pseudoaneurysm and outflow control by balloon occlusion of the hepatic vein. A promising therapeutic outcome was achieved without any serious adverse events. Thus, the combination of these techniques to control inflow and outflow was successfully used to treat this rare hepatic vascular injury.

J Nippon Med Sch 2016; 83: 27-30

Keywords
blunt liver trauma, hepatic injury, hepatic arteriovenous fistula, embolization, n-butyl-2-cyanoacrylate

Correspondence to
Takahiko Mine, MD, PhD, Department of Radiology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
s8090@nms.ac.jp

Received, February 15, 2015
Accepted, July 7, 2015