Imai Yusuke, Hirooka Masashi, Koizumi Yohei, Nakamura Yoshiko, Watanabe Takao, Yoshida Osamu, Tokumoto Yoshio, Takeshita Eiji, Abe Masanori, Hiasa Yoichi
Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine.
Nihon Shokakibyo Gakkai Zasshi. 2017;114(1):99-103. doi: 10.11405/nisshoshi.114.99.
Hepatic aneurysms are rare, but can prove fatal once they rupture. Transcatheter arterial embolization (TAE) is performed as a prophylactic treatment. The position of the aneurysm determines the degree of difficulty of TAE. Maintaining blood flow to the liver can become difficult, particularly when the aneurysm is at an arterial junction. The patient was a 72-year-old man diagnosed with a hepatic aneurysm. The aneurysm was situated on the common hepatic artery at the junction of the gastroduodenal and proper hepatic arteries. TAE was performed with framing, followed by coil embolization. Blood flow to the liver was maintained via the gastroduodenal artery. Appropriate framing is important for safe and efficient TAE.
肝动脉瘤较为罕见，但一旦破裂可能会致命。经导管动脉栓塞术（TAE）作为一种预防性治疗手段来实施。动脉瘤的位置决定了TAE的难度程度。维持肝脏的血流可能会变得困难，尤其是当动脉瘤位于动脉交界处时。该患者为一名72岁男性，被诊断患有肝动脉瘤。动脉瘤位于肝总动脉，在胃十二指肠动脉和肝固有动脉的交界处。采用支架置入术进行TAE，随后进行弹簧圈栓塞。通过胃十二指肠动脉维持肝脏的血流。合适的支架置入术对于安全有效的TAE很重要。
