Fig. 3. Active bleeding after endoscopic ultrasound-guided hepatoduodenostomy. (A) On endoscopy, bleeding control was impossible. (B) Common hepatic artery angiogram shows a pseudoaneurysm (arrow) at the right main hepatic artery near the proximal stent end. (C) The post-embolization angiogram shows no further bleeding focus with preserved right hepatic flow via intrahepatic collaterals. The proximal portion of the pseudoaneurysm was embolized using microcoils, followed by embolization of the pseudoaneurysm and its proximal part with N-butyl cyanoacrylate (NBCA; NBCA:lipiodol = 1:3).
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