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Song, Lee, Ku, and Chun: Successful Treatment of an Iatrogenic Hepatic Arteriobiliary Fistula with an Endobiliary Covered Stent Graft: A Case Report
Interventional Radiology
Journal of the Korean Society of Radiology

Journal of the Korean Society of Radiology 2012; 67(1): 25-28.

Published online: 10 July 2012

DOI: https://doi.org/10.0000/jksr.2012.67.1.25

Successful Treatment of an Iatrogenic Hepatic Arteriobiliary Fistula with an Endobiliary Covered Stent Graft: A Case Report

Hyun Song, MD, Su Lim Lee, MD, Young Mi Ku, MD, Chang Woo Chun, MD

Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Corresponding author: Su Lim Lee, MD. Department of Radiology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu 480-717, Korea. Tel. 82-31-820-3749, Fax. 82-31-846-3080, radlsl@catholic.ac.kr

Received 24 February 2012       Accepted 2 May 2012

Copyright © 2012 The Korean Society of Radiology

Abstract

Hepatic arteriobiliary fistula is a rare cause of hemobilia following percutaneous transhepatic biliary drainage for treatment of hilar cholangiocarcinoma. Hemobilia related to arterial injury is resistant to conservative treatment. Therefore, transarterial embolization after confirmation of bleeding vessels on an angiogram is generally considered as the first line of treatment to stop arterial bleeding. However, in high risk situations such as a hepatic infarction by arterial embolization, the endobiliary approach with a covered stent can be considered as an alternative treatment method. The authors report a case of iatrogenic arteriobiliary fistula in a patient with hilar cholangiocarcinoma which was successfully controlled by an endobiliary covered stent graft.

Keywords: Arteriobiliary Fistula, Bile Duct, Complication, Hemobilia, Hepatic Artery, Percutaneous Drainage, Stent Graft

References

1. Winick AB, Waybill PN, Venbrux AC. Complications of percutaneous transhepatic biliary interventions. Tech Vasc Interv Radiol. 2001. 4:200–206.
2. Choi SH, Gwon DI, Ko GY, Sung KB, Yoon HK, Shin JH, et al. Hepatic arterial injuries in 3110 patients following percutaneous transhepatic biliary drainage. Radiology. 2011. 261:969–975.
3. Rami P, Williams D, Forauer A, Cwikiel W. Stent-graft treatment of patients with acute bleeding from hepatic artery branches. Cardiovasc Intervent Radiol. 2005. 28:153–158.
4. Takao H, Doi I, Makita K, Watanabe T. Coil embolization of an arteriobiliary fistula caused by hepatic intra-arterial chemotherapy. Cardiovasc Intervent Radiol. 2005. 28:825–827.
5. Mitchell SE, Shuman LS, Kaufman SL, Chang R, Kadir S, Kinnison ML, et al. Biliary catheter drainage complicated by hemobilia: treatment by balloon embolotherapy. Radiology. 1985. 157:645–652.
6. Merrell SW, Schneider PD. Hemobilia--evolution of current diagnosis and treatment. West J Med. 1991. 155:621–625.
7. Basile A, Lupattelli T, Giulietti G, Massa Saluzzo C, Mundo E, Carbonatto P, et al. Interventional treatment of iatrogenic lesions and hepatic arteries. Radiol Med. 2005. 110:88–96.
8. Nicholson T, Travis S, Ettles D, Dyet J, Sedman P, Wedgewood K, et al. Hepatic artery angiography and embolization for hemobilia following laparoscopic cholecystectomy. Cardiovasc Intervent Radiol. 1999. 22:20–24.
9. Doppman JL, Girton M, Kahn R. Proximal versus peripheral hepatic artery embolization experimental study in monkeys. Radiology. 1978. 128:577–588.
10. Hashimoto M, Akabane Y, Heianna J, Tate E, Ishiyama K, Nishii T, et al. Hepatic infarction following selective hepatic artery embolization with microcoils for iatrogenic biliary hemorrhage. Hepatol Res. 2004. 30:42–50.
11. Tan KC, Kapoor BS. Hepatic arteriobiliary fistula successfully treated with an endobiliary covered stent. J Vasc Interv Radiol. 2008. 19:1521–1522.
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