Disastrous Portal Vein Embolization Turned into a Successful Intervention

Tomas Dobrocky, Joachim Kettenbach, Ruben Lopez-Benitez, Levent Kara

Research output: Journal article (peer-reviewed)Letter/short communication

3 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)1365-1368
Number of pages4
JournalCardioVascular and Interventional Radiology
Issue number5
Publication statusPublished - 14 Oct 2015


  • Aged
  • Bile Duct Neoplasms/diagnostic imaging
  • Embolization, Therapeutic/methods
  • Female
  • Humans
  • Klatskin Tumor/diagnostic imaging
  • Portal Vein/diagnostic imaging
  • Tomography, X-Ray Computed
  • Treatment Outcome


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