Report: A 67-year-old man with atrial fibrillation developed acute liver failure due to an embolic
occlusion of the CA and SMA, with a severe coagulation disorder. He was successfully managed with
percutaneous stent placement and an exploratory laparotomy was not needed. He remains symptomfree
1 year after the procedure, and duplex follow-up showed stent patency.
Conclusion: Endovascular techniques in patients with liver failure, no signs of peritonism, early diagnosis
and high operative risk seem feasible and should be used if possible, as first-line option.
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