Mine Takahiko, Murata Satoru, Yasui Daisuke, Yokota Hiroyuki, Tajima Hiroyuki, Kumita Shin-ichiro
Department of Radiology, Nippon Medical School.
J Nippon Med Sch. 2016;83(1):27-30. doi: 10.1272/jnms.83.27.
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.
我们报告了一例罕见的钝性创伤性肝动静脉瘘病例，该病例由一名35岁女性的假性动脉瘤引起。采用正丁基-2-氰基丙烯酸酯进行经动脉栓塞，在流入控制下，用弹簧圈疏松填塞假性动脉瘤，并通过球囊闭塞肝静脉进行流出控制。治疗取得了良好效果，未发生任何严重不良事件。因此，这些控制流入和流出的技术组合成功用于治疗这种罕见的肝血管损伤。
