Microcatheter looping technique for catheterization of the proper hepatic artery through pancreaticoduodenal arcades and gastroduodenal artery in celiac axis occlusion

Publication date: December 2013 Source:Gastrointestinal Intervention, Volume 2, Issue 2 Author(s): Roh-Eul Yoo , Hyo-Cheol Kim , Jin Wook Chung The present report describes a case of successful embolization of the hepatic artery pseudoaneurysm in a 61-year-old female patient with celiac axis occlusion. Because of celiac artery occlusion, the hepatic artery had to be catheterized through the pancreaticoduodenal arcades and the gastroduodenal artery (GDA) from the superior mesenteric artery (SMA). Despite coaxial catheterization using a torque guide wire, the proper hepatic artery (PHA) could not be catheterized because of the acute angle between the GDA and the PHA. The use of the microcatheter looping technique facilitated catheterization of the PHA and subsequent embolization of the right hepatic artery pseudoaneurysm.

Source: Gastrointestinal Intervention - November 1, 2014 Category: Gastroenterology Source Type: research