PMC8366405_01
Abdominal angiotomography A and B - Presence of aneurysmal dilatation of the common hepatic artery.
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The second dilatation was closer to the hepatic hilum, with a length of around 2.0 cm, maximum caliber of 2.0 cm, and a small mural thrombus (Figure 1).
Arteriography. A and B - Presence of aneurysm of the common hepatic artery. Note the larger estimates of diameters and lengths than described in the abdominal angiotomography.
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Technologies Ltd., Ireland) vascular covered stents, sizes 7x58 mm, 8x58 mm, and 8x37 mm, implanted sequentially, partially overlapping, with the aid of an HFAN 7F, valved introducer sheath and 0.35" Roadruner  (Cook Medical Group, Indiana, United States) hydrophilic guidewire followed by an Amplatz StiffTM (Boston Scientific Corporation, Massachusetts, United States) hydrophilic guidewire up to the distal segment of the hepatic artery, to guide the stents as they were advanced (Figure 2).
Arteriography showing positioning for deployment of the second sequential Lifestream  stent overlapping the first stent deployed in the hepatic artery.
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The procedure was performed successfully, achieving exclusion of the aneurysm (Figures 3, 4, and 5). The patient remained asymptomatic, with adequate flow through the stents shown on two follow-up ultrasound examinations, at 6 months and 1 year, and free from leaks into the aneurysm, which was still thrombosed 2 years after treatment.
After expansion of the three stents using an 8x58 mm balloon.
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The procedure was performed successfully, achieving exclusion of the aneurysm (Figures 3, 4, and 5). The patient remained asymptomatic, with adequate flow through the stents shown on two follow-up ultrasound examinations, at 6 months and 1 year, and free from leaks into the aneurysm, which was still thrombosed 2 years after treatment.
Final arteriography showing adequate placement of the three stents with flow diverted through the covered stents, excluding the aneurysm.
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The procedure was performed successfully, achieving exclusion of the aneurysm (Figures 3, 4, and 5). The patient remained asymptomatic, with adequate flow through the stents shown on two follow-up ultrasound examinations, at 6 months and 1 year, and free from leaks into the aneurysm, which was still thrombosed 2 years after treatment.