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Endovascular treatment of a patient with an aneurysm of the proper hepatic artery and a duodenal fistula  Merel Huisman, MD, Maurice A.A.J. van den Bosch,

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Presentation on theme: "Endovascular treatment of a patient with an aneurysm of the proper hepatic artery and a duodenal fistula  Merel Huisman, MD, Maurice A.A.J. van den Bosch,"— Presentation transcript:

1 Endovascular treatment of a patient with an aneurysm of the proper hepatic artery and a duodenal fistula  Merel Huisman, MD, Maurice A.A.J. van den Bosch, MD, PhD, Erik Mooiweer, MD, I. Quintus Molenaar, MD, PhD, Joost A. van Herwaarden, MD, PhD  Journal of Vascular Surgery  Volume 53, Issue 3, Pages (March 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 a, Preoperative computed tomography (CT) of the abdomen shows a large, partly thrombosed, hepatic artery aneurysm (arrow). Air bubbles in the aneurysmal sac indicate possible fistulization and contamination. b, CT-image just caudal to panel a shows the extent of the aneurysm, the arrow indicating the outer wall; iv-contrast is visible within the lumen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Angiogram with the catheter positioned in the common hepatic artery shows the aneurysm of the proper hepatic artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 a, A self-expanding bare metal stent was placed over the aneurysm orifice into the proper hepatic artery, the arrows indicating the outer margins of the stent. b, An angiogram after stent placement shows no flow in the hepatic artery aneurysm, and a patent gastroduodenal artery, right hepatic artery and left hepatic artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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