Peripheral Arterial Coil Embolization for Hepatic Arteriovenous Malformation in Osler-Weber-Rendu Disease; Useful for Controlling High Output Heart Failure, but Harmful to the Liver.

Hisamatsu, Ken-ichi; Ueeda, Masayuki; Ando, Masaharu; Koike, Kazuko; Matsuo, Noriyuki; Matsu-Ura, Kazunori; Ueda, Hisashi; Hirohata, Mamoru; Imai, Masanobu

doi:10.2169/internalmedicine.38.962

Cited by 17 publications

(20 citation statements)

References 18 publications

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“…In the late 1970s, the treatment of choice for hepatic AVM was surgical arterial ligation (5). Since the 1980s, embolization of the hepatic artery with metallic coils, gelatin sponges or polymer particles has been pursued.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter embolization of congenital hepatic arteriovenous malformation using ethylene vinyl alcohol copolymer (onyx)

Zanjani

Mazloumi

Zeinaloo

et al. 2011

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

Transcatheter embolization of congenital hepatic arteriovenous malformation using ethylene vinyl alcohol copolymer (onyx)

Zanjani

Mazloumi

Zeinaloo

et al. 2011

Diagn Interv Radiol

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“…Concerning the treatment of hepatic involvement of HHT, hepatic arterial coil embolization is employed for hepatic AVM in HHT [17]. Hepatic arterial coil embolization temporarily improves the patient's cardiac condition, but gradually induces progressive hepatic failure due to intrahepatic cholangitis [17].…”

Section: Discussionmentioning

confidence: 99%

“…Hepatic arterial coil embolization temporarily improves the patient's cardiac condition, but gradually induces progressive hepatic failure due to intrahepatic cholangitis [17]. Peripheral arterial coil embolization might be temporarily useful for high-output heart failure, but it is harmful to the liver.…”

Section: Discussionmentioning

confidence: 99%

Hereditary hemorrhagic telangiectasia with multiple hepatic and pulmonary nodular lesions

Sugiyama

Kakizaki

Katano

et al. 2009

Clin J Gastroenterol

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A 50-year-old female visited the hospital for further evaluation of multiple pulmonary and hepatic nodules. First, she visited her primary physician for general fatigue due to anemia. She had recurrent epistaxis, and her mother had suffered from hereditary hemorrhagic telangiectasia (HHT). Telangiectasias were present in the stomach. This patient was diagnosed with HHT. Computed tomography (CT) revealed multiple pulmonary and hepatic nodules. The pulmonary nodules were due to bleeding from arteriovenous malformations of the lung. Abdominal CT and angiography showed a dilated and meandering hepatic artery, arteriovenous shunts and multiple hepatic nodules. Gadolinium-ethoxybenzyl-diethylenetriamine pentaacetic acid (Gd-EOB-DTPA)-enhanced magnetic resonance imaging (MRI) showed enhancement in the early dynamic phase and in the liver-specific phase. A liver tumor biopsy of a hepatic nodule showed nodular regenerative hyperplasia (NRH). This report presents a case of HHT with multiple pulmonary and hepatic nodular lesions. Gd-EOB-DTPA-enhanced MRI was useful for making a diagnosis of NRH.

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“…A review of the relevant literature has yielded 7 cases that have been treated with hepatic artery ligation or banding [9][10][11][12][13][14], 25 patients who have undergone HAE [11,[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and 16 patients who have been . 4 a Chest radiograph of a patient with HHT presenting with cardiac failure and intractable abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Hepatic artery embolization for treatment of patients with hereditary hemorrhagic telangiectasia and symptomatic hepatic vascular malformations

et al. 2004

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At present there is no established therapy for treating patients with hereditary hemorrhagic telangiectasia (HHT) and symptomatic hepatic involvement. We present the results of a prospective study with 15 consecutive patients who were treated with staged hepatic artery embolization (HAE). Branches of the hepatic artery were selectively catheterized and embolized in stages using polyvinyl alcohol particles (PVA) and platinum microcoils or steel macrocoils. Prophylactic antibiotics, analgesics and anti-emetics were administered after every embolization. Clinical symptomatology and cardiac output were assessed before and after therapy as well as at the end of follow-up (median 28 months; range 10-136 months). Five patients had abdominal pain and four patients had symptoms of portal hypertension. The cardiac output was raised in all patients, with cardiac failure being present in 11 patients. After treatment, pain resolved in all five patients, and portal hypertension improved in two of the four patients. The mean cardiac output decreased significantly ( P<0.001) from 12.57+/-3.27 l/min pre-treatment to 8.36+/-2.60 l/min at the end of follow-up. Symptoms arising from cardiac failure resolved or improved markedly in all but one patient. Cholangitis and/or cholecystitis occurred in three patients of whom two required a cholecystectomy. One patient with pre-existent hepatic cirrhosis died as a complication of the procedure. Staged HAE yields long-term relief of clinical symptoms in patients with HHT and hepatic involvement. Patients with pre-existing hepatic cirrhosis may be poor candidates for HAE.

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Peripheral Arterial Coil Embolization for Hepatic Arteriovenous Malformation in Osler-Weber-Rendu Disease; Useful for Controlling High Output Heart Failure, but Harmful to the Liver.

Cited by 17 publications

References 18 publications

Transcatheter embolization of congenital hepatic arteriovenous malformation using ethylene vinyl alcohol copolymer (onyx)

Transcatheter embolization of congenital hepatic arteriovenous malformation using ethylene vinyl alcohol copolymer (onyx)

Hereditary hemorrhagic telangiectasia with multiple hepatic and pulmonary nodular lesions

Hepatic artery embolization for treatment of patients with hereditary hemorrhagic telangiectasia and symptomatic hepatic vascular malformations

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