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Semin intervent Radiol 2007; 24(1): 087-095
DOI: 10.1055/s-2007-971199
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Endovascular Embolization of Large Hepatic Arteriovenous Fistulas

Stephen P. Johnson1 , Janette D. Durham1 , Sajal S. Pokharel2
  • 1Department of Radiology and Surgery, UCH Radiology-Interventional Radiology, University of Colorado at Denver and Health Sciences Center, Denver, Colorado
  • 2Medical Student, University of Colorado at Denver and Health Sciences Center, Denver, Colorado
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Publication History

Publication Date:
27 March 2007 (online)

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ABSTRACT

Treatment of hepatic artery to portal vein fistulas (HAPFs) has shifted in the past two decades from surgical resection of the involved liver to embolization. A uniform technique for percutaneous intervention has not been established because the approach is influenced by the size, location, and number of feeding arteries. We report two cases of HAPFs treated with embolization at our institution. Different outcomes in these two patients illustrate several fundamental principles in the treatment of HAPFs.

KEYWORDS

Endovascular - embolization - fistula - arterioportal - arteriovenous fistula

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Stephen P JohnsonM.D. 

Associate Professor of Radiology and Surgery, UCH Radiology-Interventional Radiology, Box A030, University of Colorado at Denver and Health Sciences Center

4200 East Ninth Avenue, Denver, CO 80262