Author(s)

Alejandro Jiménez-Sastré¹, Reynaldo Ramírez-Chacón¹, Miguel Ángel Miranda-Del Olmo¹, Humberto Azuara-Forcelledo¹, Fernando Enrique Mayans-Canabal¹, Jesús Maximiliano Granados-Villalpando², Crystell Guadalupe Guzmán-Priego²

¹Center of Medical Specialties, Instituto de Seguridad Social del Estado de Tabasco (ISSET), Villahermosa, Mexico.
²Cardiometabolism Laboratory, Research Center, División Académica de Ciencias de la Salud (DACS), Universidad Juárez Autónoma de Tabasco (UJAT), Villahermosa, Mexico.

Pseudoaneurisms are arterial wounds that affect all layers of an artery; although very rare they are mostly lethal and most of them are iatrogenic. Herein, we present two different cases of hepatic artery pseudoaneurysms derived from previous surgeries which were assessed by computed tomography angiographies and consequent conservative endovascular approaches with arteriographies, posterior cannulations and the placement of Amplatzer Vascular Plug 4 (AVP 4) systems in order to treat the pseudoaneurysm. Computed control tomographies were conducted showing no later complications. The purpose of this article is to demonstrate the importance and current clinical applications of AVP in the field of interventional radiology.

Endovascular, Hepatic Pseudoaneurysm, Interventional Radiology, Vascular Plug

Jiménez-Sastré, A. , Ramírez-Chacón, R. , Miranda-Del Olmo, M. , Azuara-Forcelledo, H. , Mayans-Canabal, F. , Granados-Villalpando, J. and Guzmán-Priego, C. (2022) Endovascular Emergency Management of Hepatic Pseudoaneurism with Vascular Plug 4 System with Sacrifice of the Aneurism Nutrient Artery (Report of 2 Cases). Case Reports in Clinical Medicine, 11, 321-329. doi: 10.4236/crcm.2022.118045.