Injury to the intima of the hepatic artery. Results of follow-up in 11 cases.

Abstract

Injury to the intima of the hepatic artery is an uncommon complication of selective arteriography. Eleven such cases were followed up for less than or equal to 12 months. The status of the vessels, the experience of the angiographer, and the materials used for catheterization all affected the frequency of injury, which was manifested by a spectrum of changes including an intimal flap, aneurysm, dissection, and occlusion. No patient had significant changes in liver function. Progression to complete arterial occlusion and regression with complete healing both occurred in this series.

Arterial injury during transcatheter arterial chemoembolization for hepatocellular carcinoma: predictors of risk and outcome

“…Few studies have investigated TACE procedures using 8 microcatheters. In the present series, the incidence of arterial injury during TACE was 1.7%, which is relatively low and similar to the results of previous reports [5,6,9,10]. In addition, 34 cases of arterial injury were caused by 0.016-inch guide wire.…”

“…The recanalization rate in the present study (91.7%) was higher than that reported in previous studies. Previous studies have reported recanalization rates of 71% and 64% in the celiac or hepatic artery after intimal injury [5,6,9].…”

“…Earlier reports of iatrogenic intimal injury of the celiac or hepatic artery revealed an incidence of 0.5-2.7% during TACE [5,6,9,10]. However, these reports were conducted on relatively old TACE procedures in which large catheters were used.…”