Abstract
was embolized with Interlock Fibered IDC (Boston Scientific) 3 mm coils. Postembolization common hepatic angiogram revealed successful exclusion of the sac, flush occlusion of the GDA, and patent hepatic arteries. Selective celiac and SMA angiogram revealed patent vessels with no retrograde flow into the VAPA. The patient had an unremarkable postoperative course without any further bleeding. He was discharged on postoperative day 5. A follow-up computed tomographic angiography confirmed continued exclusion of VAPA. Conclusions: VAPA should be included in the differential diagnosis of patients presenting with GI bleeding. Coil embolization using microcatheter techniques is a suitable treatment option for this challenging clinical condition. Advanced embolization techniques should be included in the training and practice of modern vascular surgeons.
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