Hepatic Artery Pseudoaneurysm Embolisation

In the realm of interventional radiology, swift and decisive action can make all the difference, especially when faced with emergent situations such as hepatic artery pseudoaneurysms. Here, we delve into the urgent steps taken during emergency embolisation procedures to address this life-threatening vascular complication.

Identifying the Culprit: Small Pseudoaneurysm

A hepatic artery pseudoaneurysm, though small in size, can pose significant risks, including severe bleeding and organ damage. Prompt identification is paramount. Utilizing advanced imaging techniques, radiologists pinpoint the pseudoaneurysm’s location within the hepatic arterial system, laying the groundwork for immediate intervention.

Confirmation Through Angiography: Visualizing the Threat

A run from the hepatic artery provides crucial visual confirmation of the pseudoaneurysm’s presence. This diagnostic step allows interventional radiologists to assess the pseudoaneurysm’s size, morphology, and proximity to surrounding structures, guiding subsequent treatment decisions with precision.

Precision in Action: Super Selective Cannulation

With the pseudoaneurysm identified, the procedure advances to super selective cannulation. Through meticulous catheter navigation, interventional radiologists gain access to the hepatic arterial branches feeding the pseudoaneurysm. This targeted approach ensures precise delivery of embolic agents to the source of the vascular abnormality, minimizing collateral damage.

Sealing the Threat: Post-Glue Injection Confirmation

Following super selective cannulation, a specialized adhesive, such as glue or cyanoacrylate, is injected directly into the pseudoaneurysm. This step effectively seals off the abnormal vessel, halting the risk of hemorrhage. Post-glue injection imaging confirms the absence of the pseudoaneurysm, providing reassurance of successful occlusion and mitigating the risk of recurrence.

Conclusion: Preserving Life Through Timely Intervention

Emergency hepatic artery pseudoaneurysm embolisation exemplifies the critical role of interventional radiology in safeguarding patient health and well-being. By swiftly identifying and addressing vascular threats, radiologists play a pivotal role in averting potential catastrophes and restoring stability. With each successful intervention, lives are preserved, underscoring the invaluable contribution of emergency embolisation procedures in the realm of vascular medicine.

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