The portal vein embolization, using transcutaneous transsplenic access in patients with extensive focal hepatic diseases
Abstract
Objective. Basing on analysis of own experience of the splenic portal access application, to determine its possibilities as an alternative to contralateral transhepatic access.
Маterials and methods. Results of the preoperative portal veins branches embolization in 11 patients with extensive hepatic tumors, using transsplenic portal access, were analyzed.
Results. Transsplenic portal catheteric access is simple, secure, but because of the spleen individual anatomic peculiarities this kind of access is possible in only 61% patients, who need it.
Conclusion. Transsplenic portal access may be used in patients, needing the preoperative portal veins branches embolization, to whom it is impossible to perform transhepatic portal access through that part of the organ, which is planned for excision.
References
2. Abulkhir A, Limongelli P, Healey AJ, Damrah O, Tait P, Jackson J, et al. Preoperative portal vein embolization for major liver resection: a meta-analysis. Ann Surg. 2008 Jan;247(1):49-57. DOI: 10.1097/SLA.0b013e31815f6e5b.
3. May BJ, Talenfeld AD, Madoff DC. Update on portal vein embolization: evidence-based outcomes, controversies, and novel strategies. J Vasc Interv Radiol. 2013;24:241-54. DOI: 10.1016/j.jvir.2012.10.017.
4. Ko HK, Ko GY, Sung KB, Gwon DI, Yoon HK. Portal Vein Embolization via Percutaneous Transsplenic Access prior to Major Hepatectomy for Patients with Insufficient Future Liver Remnant. J Vasc Interv Radiol. 2016 Jul;27(7):981-6. DOI: 10.1016/j.jvir.2016.03.022.
5. Chu HH, Kim HC, Jae HJ, Yi NJ, Lee KW, Suh KS, et al. Percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver disease. Cardiovasc Intervent Radiol. 2012 Dec;35(6):1388-95. DOI: 10.1007/s00270-011-0311-y.
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