{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T21:11:25Z","timestamp":1778361085920,"version":"3.51.4"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T00:00:00Z","timestamp":1650326400000},"content-version":"vor","delay-in-days":49,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Hepatic arterioportal fistula (APF) in the setting of cirrhosis may aggravate the preexisting portal hypertension and its complications. Cirrhotic patients undergo various percutaneous invasive procedures and are at risk of developing an APF. These should be diagnosed early and should be treated accordingly at the earliest when indicated. Presently embolization is the treatment of choice with coil embolization as the most commonly used method. We describe four cases from our institute with a history of liver parenchymal disease and were found to have acquired APF on imaging. These were successfully managed with transarterial embolization with resolution or improvement in their clinical symptoms on follow-up. The present case series and review emphasize the importance of APF in the setting of liver parenchymal disease and the role of early diagnosis and therapeutic intravascular interventions.<\/jats:p>","DOI":"10.1055\/s-0042-1743112","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T23:44:50Z","timestamp":1650411890000},"page":"136-141","source":"Crossref","is-referenced-by-count":3,"title":["Hepatic Arterioportal Fistula in Patients with Cirrhosis with Endovascular Management\u2014A Series of 4 Cases with Review of Literature"],"prefix":"10.1055","volume":"32","author":[{"given":"Karamvir","family":"Chandel","sequence":"additional","affiliation":[{"name":"Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4780-5810","authenticated-orcid":false,"given":"Ranjan Kumar","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3763-9089","authenticated-orcid":false,"given":"Tara Prasad","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8905-5889","authenticated-orcid":false,"given":"Amar","family":"Mukund","sequence":"additional","affiliation":[{"name":"Department of Intervention Radiology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakhi","family":"Maiwall","sequence":"additional","affiliation":[{"name":"Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiv Kumar","family":"Sarin","sequence":"additional","affiliation":[{"name":"Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,19]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"2703","DOI":"10.1007\/s10620-012-2331-0","article-title":"Hepatic arteriovenous fistulae: role of interventional radiology","volume":"57","author":"A Kumar","year":"2012","journal-title":"Dig Dis Sci"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4329\/wjr.v5.i2.33","article-title":"Clinical outcomes of symptomatic arterioportal fistulas after transcatheter arterial embolization","volume":"5","author":"M Hirakawa","year":"2013","journal-title":"World J Radiol"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.gassur.2005.06.022","article-title":"Arterioportal fistulas: introduction of a novel classification with therapeutic implications","volume":"10","author":"E A Guzman","year":"2006","journal-title":"J Gastrointest Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/j.jceh.2018.10.001","article-title":"Angioembolization of post-traumatic intrahepatic arterioportal fistula presenting with portal hypertension","volume":"9","author":"A Mukund","year":"2019","journal-title":"J Clin Exp Hepatol"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"619","DOI":"10.2214\/ajr.101.3.619","article-title":"Hepatic arteriovenous fistula after percutaneous liver biopsy","volume":"101","author":"L Preger","year":"1967","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/028418517601700209","article-title":"Vascular complications following needle puncture of the liver. Clinical angiography","volume":"17","author":"C Hellekant","year":"1976","journal-title":"Acta Radiol Diagn (Stockh)"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s002610000174","article-title":"High-flow arterioportal fistula: treatment with detachable balloon occlusion","volume":"26","author":"S Akpek","year":"2001","journal-title":"Abdom Imaging"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s00261-005-0392-7","article-title":"Transcatheter arterial embolization in the management of hemobilia","volume":"31","author":"D N Srivastava","year":"2006","journal-title":"Abdom Imaging"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.jvir.2009.02.012","article-title":"Endovascular treatment of arterioportal fistula with the Amplatzer occlusion device","volume":"20","author":"P Roux","year":"2009","journal-title":"J Vasc Interv Radiol"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"187","DOI":"10.14701\/ahbps.2019.23.2.187","article-title":"Endovascular treatment of psuedoaneurysm arising from common hepatic artery bifurcation with complete disruption of gastroduodenal artery and high flow arterioportal fistula","volume":"23","author":"R R Anand","year":"2019","journal-title":"Ann Hepatobiliary Pancreat Surg"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1016\/j.jvs.2014.04.031","article-title":"Embolization of a giant arterioportal fistula requiring multiple Amplatzer vascular plugs","volume":"62","author":"T J Ward","year":"2015","journal-title":"J Vasc Surg"},{"issue":"01","key":"ref12","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/s42155-019- 0084-y","article-title":"Endovascular treatment of hepatic arterioportal fistula complicated with giant portal vein aneurysm via percutaneous transhepatic US guided hepatic artery access: a case report and review of the literature","volume":"2","author":"U Oguslu","year":"2019","journal-title":"CVIR Endovasc"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"e31","DOI":"10.1016\/j.jpedsurg.2009.07.036","article-title":"Management of a traumatic hepatic artery pseudoaneurysm and arterioportal fistula with a combination of a stent graft and coil embolization using flow control with balloon remodeling","volume":"44","author":"A S Flum","year":"2009","journal-title":"J Pediatr Surg"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1007\/s00270-007-9041-6","article-title":"Embolotherapy of an arterioportal fistula","volume":"30","author":"Q Chen","year":"2007","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["Indian Journal of Radiology and Imaging"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1743112.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T23:37:12Z","timestamp":1655336232000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1743112"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":14,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,6,15]]},"published-print":{"date-parts":[[2022,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1743112","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0971-3026","1998-3808"],"issn-type":[{"value":"0971-3026","type":"print"},{"value":"1998-3808","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}