Hepatic artery thrombosis is the most frequent vascular complication following orthotopic liver transplantation, and often results in biliary complications, early graft loss and death. Surgical revascularization and retransplantation are considered the mainstay of treatment. However, intraarterial endovascular therapy is an alternative that has shown low morbidity and mortality, thereby avoiding the need for retransplantation. We describe a case of orthotopic liver transplantation complicated with hepatic artery thrombosis that was successfully treated with endovascular therapy.
Vertebral artery pseudoaneurysm usually occurs after major trauma, but it can arise spontaneously after trivial injury. Clinical manifestations are often related to alterations in the posterior brain circulation. CT and angiography are usually the diagnostic methods of choice. We present a case of a pseudoaneurysm of the left vertebral artery caused by a lesion during a cervical spine surgery and treated with endovascular approach with a covered stent.
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