Celiac Artery Obstruction After Arteriography

Abstract

The first case of celiac artery obstruction due to selective arteriography is reported. Impairment of flow to liver and duodenum was present; but the patient recovered uneventfully with non-operative treatment. Management of this problem centers around careful observation, liver support, and putting the gut at rest. If non-operative treatment is failing, operation should be done, vascular reconstruction carried out, and the duodenum inspected to ensure its viability.

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References

Michels, N.A. : Collateral arterial pathways to the liver after ligation of the hepatic artery and removal of the celiac axix. Cancer 6: 708-724, 1953.

Hansbrough, E.T. , and Lipin, R.J. : Hepatic artery aneurysm with excision of celiac axis. Ann. Surg. 149: 273-277, 1959.

Sutton, D. , and Lawton, G. : Coeliac stenosis or occlusion with aneurysm of the collateral supply . Clin. Radio. 24: 49-53, 1973.

Reuter, S.R. , Olin, T. : Stenosis of the celiac artery . Radiology 85: 617-627, 1965.

Deterling, R.A. : Aneurysm of the visceral arteries. J Cardiovas. Surg. 12: 309-322, 1971.

Rob, C.G. , Owen K. : Ligation of both the coeliac axis and the superior mesenteric artery with survival of the patient. Brit. J. Surg. 44: 247-249, 1956.

Hansbrough, E.T. , Lipin, R.J. : Hepatic artery aneurysm with excision of celiac axis. Ann. surg. 149: 273-277, 1959.

Rob, C.G. , Owen, K. : Ligation of both the coeliac axis and the superior mesenteric artery with survival of the patient. Brit. J. Surg. 44: 247-249, 1956.

Miller, D.W. , Royster, T.S. : Celiac artery aneurysm: rationale for celiac axis ligation with excisional treatment. Vasc. Surg. 5: 42-47, 1971.

10.

Appleby, L.H. : The coeliac axis in the expansion of the operation for gastric carcinoma. Cancer 6: 704-707, 1953.

11.

Sweetman, W.R. , Weinstein, M.J. : Hepatic and celiac artery aneurysms . JAMA 197: 221-223, 1966.

12.

Clarke, J.S. : Hepatic necrosis following celiac artery ligation during gastric resection in man. Arch. Surg. 71: 171-177, 1955.

13.

Iuchtman, M. , Freire, E.C.S. : Hepatic artery ligation for treating liver trauma. Am. Surg. 40: 261-265, 1974.

14.

Gulesserian, H.P. , Lawton, R.L. , Candon , R.E. : Hepatic artery ligation and cytotoxic infusion in treatment of liver metastases. Arch Surg. 105: 280-285, 1972.

15.

Brittain, R.S. , Marchioro, T.L. , Hermann , G. , Waddell, W.R. , Starzl, T.E. : Accidental hepatic artery ligation in humans. Amer J. Surg. 107: 822-832, 1964.

16.

Markowitz, J. , Rappaport, A. , Scott , A.C. : Prevention of liver necrosis following ligation of hepatic artery. Proc. Soc. Exp. Bio. & Med. 70: 305, 1949.

17.

Hershey, F.B. , Colman, C.H. : Atlas of Vascular Surgery, p. 284 3rd Edition. C. V. Mosby Company, St. Louis, 1973.

18.

Lord, R.S.A. , Stoney, R.J. , Wylie , E.J. : Coeliac Axis Compression . Lancet 2: 795-798, 1968.

19.

Kraft, R.O. , Fry, W.J. : Aneurysms of the celiac artery. Surg. Gyn. & Ob. 117: 563-566, 1963.

20.

Rob, C. : Stenosis and thrombosis of the celiac and mesenteric arteries. Am. J. Surg. 114: 363-367, 1967.