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Application of Amplatzer vascular occluder in hepatic artery closure as a method of treatment of high-flow arterioportal fistula before liver transplantation
Application of Amplatzer vascular occluder in hepatic artery closure as a method of treatment of high-flow arterioportal fistula before liver transplantation
Application of Amplatzer vascular occluder in hepatic artery closure as a method of treatment of high-flow arterioportal fistula before liver transplantation
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dc.type
JournalArticle
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dc.description.physical
51-54
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dc.description.additional
Bibliogr. s. 54
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dc.abstract.en
Background: Arterioportal fistula (APF) is an abnormal, direct connection between hepatic artery or its branch and the portal vein. Fistula can be acquired or, rarely, congenital. One of the acquired causes of fistula is a liver biopsy. Patients with liver cirrhosis are particularly vulnerable to its development due to the large number of performed biopsies. APF increases mortality and morbidity of liver transplantation procedure and may be a contraindication to it. The authors present a patient with liver cirrhosis, in whom percutaneous APF closure facilitated liver transplantation. Case Report: We describe a case of a 50-year-old patient with liver cirrhosis and APF, probably formed as a result of liver biopsy. Due to the presence of a high-flow fistula, which elevated portal hypertension, patient did not qualify for the liver transplantation. Patient was transferred to the interventionalradiology department, where the fistula's vascular supply was endovascularly closed using the Amplatzer occluder. This subsequently enabled the execution of transplantation. Conclusions: Percutaneous closure of APF should be considered a relatively simple and fast-acting tool to facilitate or even enable liver transplant surgery. Currently, there are more and more products available such as e.g. Amplatzer occluder to simplify the procedure and shorten the duration of exposure to ionizing radiation.
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dc.subject.en
arterioportal fistula
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dc.subject.en
endovascular
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dc.subject.en
liver transplantation
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dc.subject.en
Amplatzer occluder
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dc.description.volume
77
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dc.description.number
4
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dc.identifier.doi
10.12659/PJR.883629
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dc.identifier.eissn
1899-0967
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dc.title.journal
Polish Journal of Radiology
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dc.language.container
eng
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dc.subtype
Article
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dc.rights.original
CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0;
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