Techniques endovasculaires thérapeutiques

Alfidja, A.; Garcier, J.M.; Chahid, T.; Ravel, A.; Boyer, L.

doi:10.1016/j.emcrad.2004.01.001

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…Surveillance is generally reserved for small, intrahepatic, asymptomatic HPFs; these are frequently peripheral, and may regress spontaneously [6][7][8][9][10][11][12][13], as opposed to extrahepatic HPF where only a single case of spontaneous regression has been described [14]. Either surgical or radiologic intervention is preferred to surveillance once clinical symptoms develop.…”

Section: Discussionmentioning

confidence: 99%

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Post-traumatic arteriovenous fistula of the hepatic pedicle

Hassani

Mohsine

Belkouchi

et al. 2010

Journal of Visceral Surgery

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Hepatico-portal fistula (HPF) is a rare condition, most often of post-traumatic or iatrogenic origin and occasionally secondary to a ruptured aneurysm of the hepatic artery into the portal vein. HPF in extrahepatic locations often results in portal hypertension (PHT). While Doppler ultrasound, CT angiography, and magnetic resonance angiography are usually demonstrative, arteriography remains indispensable to clarify the exact anatomical configuration. In the treatment of these arteriovenous (AV) fistulas, open surgical approaches have increasingly given way to radiological embolization techniques, especially in intrahepatic locations, but surgery remains indicated for AV fistulas of the hepatic pedicle where maintenance of hepatic arterial flow is a priority of treatment. We report a patient who had an AV fistula of the hepatic pedicle with resultant PHT presenting 5 years after open abdominal trauma. Treatment was surgical; the immediate and long-term postoperative course was uneventful with regression of PHT. Through analysis of this case and a review of the literature, we discuss the clinical, paraclinical, therapeutic, and prognostic features of this lesion.

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Section: Discussionmentioning

confidence: 99%

“…It also determines the technique of endovascular embolization if radiologic intervention is envisaged [11].…”

Section: Discussionmentioning

confidence: 99%

Post-traumatic arteriovenous fistula of the hepatic pedicle

Hassani

Mohsine

Belkouchi

et al. 2010

Journal of Visceral Surgery

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“…L'échographie-Doppler, l'angioscannographie hélicoïdale et l'angiographie par résonance magnétique avec injection de sels de gadolinium [9,10] peuvent détecter une FHP, [11].…”

Section: Discussionunclassified

Fistule artérioveineuse post-traumatique du pédicule hépatique

Hassani

Mohsine

Belkouchi

et al. 2010

Journal de Chirurgie Viscérale

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“…Gelatin particles are suitable for embolization hemostasis due to their non-antigenicity, good biocompatibility and degradability; however they cannot control the embolization precision well. The exploitation of novel and appropriate embolic agents is very important for the development of TAE [112][113][114]. In recent years, calcium alginate hydrogels have become a research hotspot of TAE embolization materials [115].…”

Section: Embolic Materialsmentioning

confidence: 99%

“…Many investigations of TAE have demonstrated the feasibility and effectiveness of TAE for hemostasis in visceral trauma or rupture and vascular embolization [116][117][118][119]. The alginate-based embolic agents can also cut off the blood supply of the tumor tissue and release the drug gradually at the embolization site, which are developed as dual-effect drugs for tumor embolization and chemotherapy [114,120]. Furthermore, they can be used in preoperative preparation for surgical procedures to prevent intraoperative bleeding.…”

Section: Embolic Materialsmentioning

confidence: 99%

Application of Alginate-Based Hydrogels in Hemostasis

Xie

Gao

et al. 2022

Gels

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Hemorrhage, as a common trauma injury and clinical postoperative complication, may cause serious damage to the body, especially for patients with huge blood loss and coagulation dysfunction. Timely and effective hemostasis and avoidance of bleeding are of great significance for reducing body damage and improving the survival rate and quality of life of patients. Alginate is considered to be an excellent hemostatic polymer-based biomaterial due to its excellent biocompatibility, biodegradability, non-toxicity, non-immunogenicity, easy gelation and easy availability. In recent years, alginate hydrogels have been more and more widely used in the medical field, and a series of hemostatic related products have been developed such as medical dressings, hemostatic needles, transcatheter interventional embolization preparations, microneedles, injectable hydrogels, and hemostatic powders. The development and application prospects are extremely broad. This manuscript reviews the structure, properties and history of alginate, as well as the research progress of alginate hydrogels in clinical applications related to hemostasis. This review also discusses the current limitations and possible future development prospects of alginate hydrogels in hemostatic applications.

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Techniques endovasculaires thérapeutiques

Cited by 7 publications

References 16 publications

Post-traumatic arteriovenous fistula of the hepatic pedicle

Post-traumatic arteriovenous fistula of the hepatic pedicle

Fistule artérioveineuse post-traumatique du pédicule hépatique

Application of Alginate-Based Hydrogels in Hemostasis

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