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  • Title: Transhepatic embolization of a recanalized congenital hepatic arterioportal fistula with NBCA and coils.
    Author: Cil BE.
    Journal: Cardiovasc Intervent Radiol; 2004; 27(2):172-4. PubMed ID: 15259817.
    Abstract:
    Congenital hepatic arterioportal fistula is a treatable cause of portal hypertension. Transarterial embolization is a widely accepted endovascular treatment approach. Here, a case of a recanalized congenital hepatic arterioportal fistula after prior transarterial coil embolization that was successfully treated with percutaneous transhepatic embolization with coils and N-butyl 2-cyanoacrylate is reported. The percutaneous transhepatic approach can be an effective alternative for patients with recanalized hepatic arterioportal fistula who have undergone prior transarterial coil embolization, and N-butyl 2-cyanoacrylate can be used as an embolic material in addition to metallic coils to achieve quick and total occlusion.
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