Trans-Splenic Portal Vein Embolization: A Technique to Avoid Damage to the Future Liver Remnant

被引：8

作者：

Sarwar, Ammar ^{[1
]}

Brook, Olga R. ^{[1
]}

Weinstein, Jeffrey L. ^{[1
]}

Khwaja, Khalid ^{[2
]}

Ahmed, Muneeb ^{[1
]}

机构：

[1] Harvard Med Sch, Div Intervent Radiol, Dept Radiol, Beth Israel Deaconess Med Ctr, 1 Deaconess Rd,WCC 308-B, Boston, MA 02215 USA

[2] Harvard Med Sch, Div Transplant Surg, Dept Surg, Beth Israel Deaconess Med Ctr, Boston, MA USA

来源：

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | 2016年 / 39卷 / 10期

关键词：

Portal vein embolization; Trans-splenic access; Oncology; INTRAHEPATIC PORTOSYSTEMIC SHUNT; THROMBOSIS; SPLENOPORTOGRAPHY; SAFETY; ACCESS;

D O I：

10.1007/s00270-016-1359-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Portal vein embolization (PVE) induces hypertrophy of the future liver remnant (FLR) in patients undergoing extensive hepatic resection. Portal vein access for PVE via the ipsilateral hepatic lobe (designated for resection) places veins targeted for embolization at acute angles to the access site requiring reverse curve catheters for access. This approach also involves access close to tumors in the ipsilateral lobe and requires care to avoid traversing tumor. Alternatively, a contralateral approach (through the FLR) risks damage to the FLR due to iatrogenic trauma or non-target embolization. Two patients successfully underwent PVE via trans-splenic portal vein access, allowing easy access to the ipsilateral portal veins and eliminating risk of damage to FLR. Technique and advantages of trans-splenic portal vein access to perform PVE are described.

引用

页码：1514 / 1518

页数：5

共 16 条

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