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TAP-Stenting Technique for Bifurcation Stenosis of Celiac Artery
Yucel Colkesen1, Taner Seker1, Osman Kuloglu1
1Department of Cardiology, Adana Numune Hospital, Seyhan, 01140 Adana, Turkey.
Insights
Severe liver injury caused by celiac artery occlusion was successfully treated with endovascular recanalization. This minimally invasive approach offers a viable option for patients with liver failure due to arterial blockages.
Area of Science:
- Vascular Surgery
- Hepatology
- Interventional Radiology
Background:
- Celiac artery (CA) occlusion can lead to severe ischemic liver injury.
- Clinical presentation often includes abdominal pain and elevated liver enzymes.
- Diagnosis is typically confirmed via imaging studies like computed tomography.
Purpose of the Study:
- To report a case of severe ischemic liver injury secondary to total celiac artery occlusion.
- To describe the successful endovascular treatment of celiac artery occlusion.
- To evaluate the feasibility of endovascular intervention for liver failure due to CA occlusion.
Main Methods:
- Computed tomography (CT) for diagnosis of celiac artery occlusion.
- Endovascular recanalization using transcatheter balloon angioplasty.
- TAP-stenting (T-stenting and small protrusion) technique for arterial repair.
Main Results:
- Successful recanalization of the totally occluded celiac artery.
- Resolution of ischemic liver injury following endovascular intervention.
- Avoidance of exploratory laparotomy due to absence of peritonism.
Conclusions:
- Endovascular recanalization is a practicable treatment for liver failure caused by celiac artery occlusion.
- Early intervention is advised for optimal outcomes in such cases.
- Minimally invasive endovascular techniques offer a promising alternative to traditional surgery.
Abstract:
We report a clinical course of a patient who developed severe ischemic liver injury and total occlusion of the celiac artery (CA). A 40-year-old man presented with abdominal pain. Computed tomography indicated total occlusion of the CA. Laboratory data demonstrated markedly elevated hepatic enzymes. An exploratory laparotomy was not necessitated due to absence of peritonism. The patient was successfully treated by endovascular recanalization of the CA occlusion via transcatheter balloon angioplasty and TAP-stenting (T-stenting and small protrusion) technique. Endovascular intervention in patients solely with liver failure appears practicable and early treatment is advised.
