TY - JOUR
T1 - Disastrous Portal Vein Embolization Turned into a Successful Intervention
AU - Dobrocky, Tomas
AU - Kettenbach, Joachim
AU - Lopez-Benitez, Ruben
AU - Kara, Levent
N1 - Publisher Copyright:
© 2014, Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
PY - 2015/10/14
Y1 - 2015/10/14
N2 - Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.
AB - Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.
KW - Aged
KW - Bile Duct Neoplasms/diagnostic imaging
KW - Embolization, Therapeutic/methods
KW - Female
KW - Humans
KW - Klatskin Tumor/diagnostic imaging
KW - Portal Vein/diagnostic imaging
KW - Tomography, X-Ray Computed
KW - Treatment Outcome
UR - http://www.scopus.com/inward/record.url?scp=84941335509&partnerID=8YFLogxK
U2 - 10.1007/s00270-014-0985-z
DO - 10.1007/s00270-014-0985-z
M3 - Letter/short communication
C2 - 25212417
SN - 0174-1551
VL - 38
SP - 1365
EP - 1368
JO - CardioVascular and Interventional Radiology
JF - CardioVascular and Interventional Radiology
IS - 5
ER -