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Selective coil occlusion of a large arterioportal fistula in a liver graft

✍ Scribed by Olivier Detry; Arnaud De Roover; Jean Delwaide; Robert F Dondelinger; Michel Meurisse; Pierre Honoré


Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
164 KB
Volume
12
Category
Article
ISSN
1527-6465

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✦ Synopsis


A woman, born in 1958, developed hepatitis B virus fulminant hepatic failure and underwent ABO blood group incompatible orthotopic liver transplantation in 1989 and was retransplanted with an ABO identical graft in 1992 for chronic rejection. Since her first liver transplantation she had received regular anti-hepatitis B surface antigen immunoglobulins. Hepatitis B virus antigenemia became positive in 1994. She received lamivudine therapy in 1997 and adefovir in 2004 for YMDD mutant reinfection.

During this whole period she underwent regular liver biopsies aimed to evaluate the recurrent hepatitis B virus hepatitis. In 2003 an abdominal computed tomography did not show any vascular abnormalities in the liver graft and two percutaneous biopsies were performed at that time for follow-up of the graft. In June


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## Abstract A 2‐year‐old girl underwent transcatheter occlusion of a fistula. The fistula originated from the right coronary artery and drained into the right atrium. Three interlocking Gianturco coils were initially placed in the distal portion of the fistula resulting in near‐total occlusion of b