Diagnostic and Interventional Radiology
Interventional Radiology - Technical Note

Iatrogenic arterio-biliary fistula and peripheral hepatic artery pseudoaneurysm after transjugular liver biopsy: complication management using a microvascular plug

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Diagnostic and Interventional Radiology, Saarland University Medical Center, Hamburg, Germany

Diagn Interv Radiol 2022; 28: 383-386
DOI: 10.5152/dir.2022.20994
Read: 66 Downloads: 19 Published: 01 July 2022

This study aimed to report on complication management in a 58-year-old woman referred for transjugular biopsy for the evaluation of unknown liver disease. After an initial uneventful biopsy procedure, the patient complained of severe upper abdominal pain. Laboratory tests revealed increasing liver enzymes. Imaging studies depicted an iatrogenic pseudoaneurysm associated with an arterio-biliary fistula originating from the right peripheral hepatic artery. Angiography and percutaneous transarterial superselective embolotherapy was performed by means of a microcatheter and microvascular plug. Precise device positioning allowed for successful closure of the bleeding site without compromising the hepatic vasculature.

You may cite this article as: Frenzel F, Fries P, Buecker A, Massmann A. Iatrogenic arterio-biliary fistula and peripheral hepatic artery pseudoaneurysm after transjugular liver biopsy: Complication management using a microvascular plug. Diagn Interv Radiol. 2022;28(4):383-386.

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