Endovascular treatment of a hepatic artery pseudoaneurysm associated with gastrointestinal tract bleeding Tryfon Vainas, MD, PhD, Elisabeth Klompenhouwer,

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Endovascular treatment of a hepatic artery pseudoaneurysm associated with gastrointestinal tract bleeding Tryfon Vainas, MD, PhD, Elisabeth Klompenhouwer, MD, Lucien Duijm, MD, PhD, Xander Tielbeek, MD, PhD, Joep Teijink, MD, PhD Journal of Vascular Surgery Volume 55, Issue 4, Pages 1145-1149 (April 2012) DOI: 10.1016/j.jvs.2011.11.136 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography angiography (A) coronal and (B) sagittal views show irregular pancreas with gross calcification as sign of chronic pancreatitis and blush from hepatic artery into the false aneurysm (arrow). C, Digital subtraction angiography of selective catheterization of the hepatic artery shows filling of the false aneurysm. Journal of Vascular Surgery 2012 55, 1145-1149DOI: (10.1016/j.jvs.2011.11.136) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Digital subtraction angiography and (B) computed tomography angiography after stent placement show the false aneurysm of the hepatic artery is successfully excluded from the circulation after placement of a covered stent. C, Persistent arterial flow is shown in the false aneurysm by filling of the aneurysm by branches of the superior mesenteric artery. Journal of Vascular Surgery 2012 55, 1145-1149DOI: (10.1016/j.jvs.2011.11.136) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Selective catheterization of the superior mesenteric artery shows filling of the false aneurysms. B, The supplying and draining branches are occluded by coil embolization. C, Follow-up computed tomography angiography after 3 months shows shrinking and complete obliteration of the pseudoaneurysm and a patent hepatic artery. Journal of Vascular Surgery 2012 55, 1145-1149DOI: (10.1016/j.jvs.2011.11.136) Copyright © 2012 Society for Vascular Surgery Terms and Conditions