Sequential Portal Vein Embolization: a Technical Option for Hepatic Metastasis Resection
Por:
Lama, C, Parada, C, Artacho, J, Contreras, D and Gil, S
Publicada:
1 oct 2020
Ahead of Print:
1 mar 2020
Resumen:
We present the clinical case of a patient who, having been referred for surgery on two-stage hepatectomy, could not have a conventional portal embolization performed as an intermediate step in order to be able to resection the whole of the hepatic illness she was suffering. During right portal embolization (PE), the portography revealed minimal flow in the left portal vein, without thrombosis or stenosis. Given the risk of serious hepatic insufficiency, the embolization procedure was ruled out. Our option was to perform a portal embolization in two stages: initial PE of the right posterior branch, and subsequently, right anterior branch PE. After that, the liver resection could be completed.
Filiaciones:
Lama, C:
Hosp Elda, Dept Surg, Carretera Sax S-N, Alicante 03600, Spain
Parada, C:
Hosp Elda, Dept Surg, Carretera Sax S-N, Alicante 03600, Spain
Artacho, J:
Hosp Elda, Dept Radiol, Alicante, Spain
Contreras, D:
Hosp Gen Alicante, Dept Radiol, Alicante, Spain
:
Hosp Gen Alicante, Dept Radiol, Alicante, Spain
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