Embolothérapie Hépatique Hypertension portale

Arterioportal fistula embolization

Endovascular closure of an abnormal communication between a hepatic artery and the portal vein.

4 doctors and centers ↓

The information below is provided for general educational purposes only. It describes the procedure in general terms and may not apply to your specific situation. Only your interventional radiologist can provide you with personalized information adapted to your case.

What does this intervention involve?

Background and indications

An arterioportal fistula is an abnormal communication between the arterial and portal systems of the liver, which may occur after trauma, liver biopsy, or in association with a tumor. It can worsen portal hypertension.

Benefits

Minimally invasive fistula closure allowing portal flow normalization and portal hypertension symptom reduction.

Procedure

Under local anesthesia, a catheter is introduced via the femoral artery and guided to the hepatic artery feeding the fistula. Coils or glue are used to close the communication. The procedure lasts 1-2 hours.

Risks

Hepatic ischemia, embolization material migration, portal thrombosis.

Recovery and follow-up

One-night hospitalization. Follow-up Doppler at 1 month.

Practical information

Local anesthesia. Outpatient procedure (return home the same day).

This information does not replace a medical consultation. Each procedure is adapted to the patient's individual situation. Your doctor will explain the specific details, expected benefits and potential risks during your consultation.