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Related Experiment Videos

Totally implantable arterial device (TIAD): a questionable complication.

Isidoro Di Carlo1, Giovanni Li Destri, Rosario Lombardo

  • 1First Surgical Clinic, University of Catania, Catania, Italy. idicarlo@mbox.unict.it

Hepato-Gastroenterology
|June 28, 2003
PubMed
Summary

A complication of a totally implantable arterial device used for hepatic metastasis was observed. A duodenal mass, suspected to be a pseudoaneurysm-related hematoma, spontaneously resolved.

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Area of Science:

  • Hepatobiliary Medicine
  • Interventional Radiology
  • Oncology

Background:

  • Totally implantable arterial devices are used to manage hepatic metastasis.
  • Complications associated with these devices require careful monitoring and understanding.

Purpose of the Study:

  • To report an unusual complication of a totally implantable arterial device.
  • To investigate the potential cause of a transient duodenal mass.

Main Methods:

  • A patient with hepatic metastasis received a totally implantable arterial device.
  • The patient underwent intrahepatic chemotherapy and device management.
  • Clinical observation of a developing and resolving duodenal mass.

Main Results:

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  • A mass developed near the duodenal loop during device management.
  • The mass spontaneously disappeared within seven months.
  • The spontaneous resolution suggests a hematoma from a ruptured collateral artery pseudoaneurysm.

Conclusions:

  • Rupture of small collateral arteries can lead to pseudoaneurysms and hematomas.
  • These hematomas may present as transient masses.
  • This complication highlights the need for vigilance in managing implantable arterial devices.