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

被引：0

作者：

Ammar Sarwar

Olga R. Brook

Jeffrey L. Weinstein

Khalid Khwaja

Muneeb Ahmed

机构：

[1] Beth Israel Deaconess Medical Center/Harvard Medical School,Division of Interventional Radiology, Department of Radiology

[2] Beth Israel Deaconess Medical Center/Harvard Medical School,Division of Transplant Surgery, Department of Surgery

来源：

CardioVascular and Interventional Radiology | 2016年 / 39卷

关键词：

Portal vein embolization; Trans-splenic access; Oncology;

D O I：

暂无

中图分类号：

学科分类号：

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：4

共 26 条

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