The function of the hepatic artery has been extensively studied in animals (1-5). Great differences have been found from one species to another (6, 7), and our knowledge of the significance of the arterial blood supply to the human liver is limited mainly to observations of the late effect of occlusion of the hepatic artery (8) or of the portal vein (9, 10). As these events are followed by comp...

OBJECTIVE To determine possible differences in hepatic artery flow between trisomy 21 and euploid fetuses at 11-13 weeks' gestation. METHODS Hepatic artery pulsatility index (PI) and peak systolic velocity (PSV) were measured in fetuses at low risk of aneuploidies (n = 350) and another group at high risk, including 283 euploid and 47 with trisomy 21. The association of hepatic artery PI and P...

Hepatic artery (HA) aneurysms are seen infrequently, but many eventually rupture, often with a fatal outcome. With modern diagnostic technology, aneurysms can be identified at an earlier stage, providing the opportunity for intervention. This review outlines the case of a patient with a massive, leaking hepatic artery aneurysm and discusses the aetiology and management of these lesions.

In addition to the normal textbook description, the hepatobiliary arterial system in man shows many anatomical variations that have definite clinical importance. The presence of aberrant hepatic and cystic arteries may lead to a number of iatrogenic injuries during some open surgical or endoscopic procedures. In the course of routine students’ dissection of a 62-year-old Caucasian female cadave...

PURPOSE The aim of our study was to determine whether using C-arm CT (DYNA CT) during hepatic arteriography imaging assists in TACE treatment. MATERIALS AND METHODS 138 patients with HCC, 69 patients (Group A) underwent DYNA CT and routine digital subtraction angiography (DSA), while another 69 patients (Group B) underwent only DSA, were prospectively studied at a single facility between May ...

The "Evidence-based Telemedicine - Trauma & Acute Care Surgery" (EBT-TACS) Journal Club performed a critical review of the literature and selected three up-to-date articles on the management of splenic trauma. Our focus was on high-grade splenic injuries, defined as AAST injury grade III-V. The first paper was an update of the 2003 Eastern Association for the Surgery of Trauma (EAST) practice m...

Hepatic artery aneurysm is a rare and potentially life-threatening entity. We report a case of ruptured common hepatic artery aneurysm in a patient with Behçet's disease. The ruptured aneurysm was treated successfully with transcatheter arterial coil embolization. Transcatheter arterial embolization is the preferred treatment modality in patients at high risk of surgical intervention.

Background: The most common hepatic artery complications after Liver Transplantation (LT) are hepatic artery stenosis, thrombosis and pseudoaneurysm, which can all cause ischemia in the grafted liver. As one of the main complications, the Hepatic Artery Pseudoaneurysm (HAP) is rare with the incidence of about 2%, but its consequence may be most devastating or even fatal. Methods: Here, we prese...

BACKGROUND Preperitoneal pelvic packing/external fixation (PPP/EF) for controlling life-threatening hemorrhage from pelvic fractures is used widely in Europe but has not been adopted in North America. We hypothesized that PPP/EF arrests hemorrhage rapidly, facilitates emergent operative procedures, and ensures efficient use of angioembolization (AE). STUDY DESIGN In 2004 we initiated a PPP/EF...