# Vascular Complications in Routine Hepatobiliary Procedures and Their Management: An Interventional Radiologist’s Perspective and a Case Series

## TL;DR

This paper discusses vascular complications from liver and bile procedures and shows how interventional radiology can effectively manage them.

## Contribution

The paper presents a case series demonstrating the role of interventional radiology in managing hepatobiliary vascular complications.

## Key findings

- Four cases of vascular injuries after hepatobiliary procedures were successfully treated with endovascular techniques.
- Interventional radiology provides effective alternatives to surgery for managing these complications.
- Timely diagnosis and embolization are critical for preventing life-threatening hemorrhage.

## Abstract

Hepatic and biliary interventions, though routinely performed, can lead to significant vascular complications such as bleeding or pseudoaneurysm formation. These injuries usually result from vessel trauma during needle puncture, catheter manipulation, or stent placement and can cause life-threatening hemorrhage if unrecognized. Interventional radiology offers minimally invasive, effective alternatives to surgical management through timely diagnosis and targeted embolization. We present four cases of vascular injuries following common hepatobiliary procedures, each successfully managed using endovascular techniques, underscoring the critical role of interventional radiology in their prompt detection and treatment.