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CVIR Endovascular
Fig. 2 | CVIR Endovascular

Fig. 2

From: Arterio-biliary fistula caused by a hepatic artery pseudoaneurysm in a recently performed liver transplant: successful resolution and long-term liver implant preservation using a covered coronary stent

Fig. 2

Endovascular treatment of the HAP and the ABF. a DSA of the celiac trunk demonstrating a HAP (thick black arrow) coming off the main hepatic artery just before its bifurcation (thin white arrow). The bile duct is filled with iodinated contrast, confirming the presence of an ABF with hemobilia (blackhead arrow). Contrast flush within the duodenum demonstrated the presence of an upper GI hemorrhage (white head arrow). b-c Fluoroscopic images during the positioning of the microcatheter after crossing the target lesion (thick black arrow) (b) and the introduction and release of a covered stent with an expandable balloon (between thin black arrows) (c). d DSA demonstrating complete exclusion of the HAP, resolution of the ABF, the permeability of the main hepatic artery (thin white arrow), and its intrahepatic branches. We noted focal stenosis in the hepatic artery and its branches, related to vasospasm and vessel remodeling after manipulation (thin black arrows)

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