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Mortality following transarterial embolization due to hemorrhage after liver venous deprivation
Thanh Dung Le,Van Sy Than,Minh Duc Nguyen,Hoai Linh Vu,Xuan Hai Dao,Hong Son Trinh 소화기인터벤션의학회 2022 Gastrointestinal Intervention Vol.11 No.2
Liver venous deprivation (LVD) is considered to be a safe and effective method that induces more rapid and important liver hypertrophy before major hepatectomy in comparison with portal vein embolization (PVE) alone. Bleeding complications after LVD or PVE are rare, but can be a life-threatening event. Herein, we report a case of perihepatic and extended subcapsular hematoma of the liver after LVD. Transarterial embolization was performed using gelfoam to control the hemorrhage; however, the patient developed irreversible liver failure and passed away after 38 days of treatment. In patients with LVD or PVE, severe post-procedural bleeding poses a substantial challenge for treatment. Arterial embolization should be carefully considered to avoid liver failure and even death, regardless of whether temporary embolization is used.
Mortality following transarterial embolization due to hemorrhage after liver venous deprivation
Thanh Dung Le,Van Sy Than,Minh Duc Nguyen,Hoai Linh Vu,Xuan Hai Dao,Hong Son Trinh 소화기인터벤션의학회 2022 International journal of gastrointestinal interven Vol.11 No.2
Liver venous deprivation (LVD) is considered to be a safe and effective method that induces more rapid and important liver hypertrophy before major hepatectomy in comparison with portal vein embolization (PVE) alone. Bleeding complications after LVD or PVE are rare, but can be a life-threatening event. Herein, we report a case of perihepatic and extended subcapsular hematoma of the liver after LVD. Transarterial embolization was performed using gelfoam to control the hemorrhage; however, the patient developed irreversible liver failure and passed away after 38 days of treatment. In patients with LVD or PVE, severe post-procedural bleeding poses a substantial challenge for treatment. Arterial embolization should be carefully considered to avoid liver failure and even death, regardless of whether temporary embolization is used.
Thanh Dung Le,Minh Duc Nguyen,Van Sy Than 소화기인터벤션의학회 2022 International journal of gastrointestinal interven Vol.11 No.1
The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.
Thanh Dung Le,Minh Duc Nguyen,Van Sy Than 소화기인터벤션의학회 2022 Gastrointestinal Intervention Vol.11 No.1
The liver is the most frequently injured organ during abdominal trauma. Vascular injuries account for approximately 3% to 25% of all cases of liver trauma and are typically treated by transarterial embolization (TAE). We describe a case of American Association for the Surgery of Trauma grade V liver injury with a very large pseudoaneurysm and an arteriohepatic venous fistula (AHVF), which failed to respond to TAE. This case was successfully treated using a direct transhepatic glue injection without complications. AHVF is an exceedingly rare type of vascular injury in blunt trauma. Direct transhepatic glue injections could represent a reliable alternative to TAE for the treatment of visceral pseudoaneurysms, especially if TAE fails to eliminate the lesion.
Right lumbar lymph trunk injury after right laparoscopic donor nephrectomy: a case report
Le Thanh Dung,Le Nguyen Vu,Than Van Sy,Tran Ha Phuong,Ninh Viet Khai,Dao Xuan Hai,Nguyen Quang Nghia 대한이식학회 2023 Korean Journal of Transplantation Vol.37 No.2
Laparoscopic donor nephrectomy (LDN) is increasingly popular because of its advantages over open surgery. Chyle leak after donor nephrectomy is a rare but potentially lethal complication if not treated appropriately. We describe a case of a 43-year-old female patient with no remarkable history who presented a chyle leak on day 2 after right transperitoneal LDN. Since conservative treatment failed, the patient underwent magnetic resonance imaging (MRI) and intranodal lipiodol lymphangiography, which confirmed the chyle leak from the right lumbar lymph trunk into the right renal fossa. The chyle leak was percutaneously embolized twice, on postoperative day (POD) 5 and POD 10, by a mixture of N-butyl-2-cyanoacrylate and lipiodol. The drainage fluid decreased significantly after the second embolization. The subhepatic drainage tube was withdrawn on POD 14, and the patient was discharged on POD 17. MRI lymphangiography and intranodal lipiodol lymphangiography effectively identified the chyle leak point. Percutaneous embolization seems to be a safe, effective method for treating high-output chyle leaks.